HomeMy WebLinkAboutXR2022-2201 - Permit ApplicationPrint Form
F Comm'I fk Residential
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Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division ) /�
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL �t(`
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8 PlInehurst, Newport Beach, Ca. 92660
cription of Work
custom 2-story SFD (8690.1 sq. ft.) &
vew/Atl FJ8,690.1
OWNER'S NAME
Owners Address
15391 Cherbourg Ave.
Remodel
Last
(1107.3 sq. ft)
Investors LLC
107.3
Owner's E-mail Address
aseetpatel@gmail. com
City Irvine State CA
Zip 92604 Telephone 949-737-2124
No
Use SFD
# Stories # Units (if Resc-
$ Srt 1
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APPLICANTS NAME Last '',, I r^
f`A �,JJ .F-4i I� First C; I E 4 P dv
Applicant's Address Y� Applicant's E-mail Address
5521 Irvine Center or
City Irvine State CA Zip 92618 Telephone 949-861-2244
ARCHITECT/DESIGNER'S NAME
Last Trabert First Eric
Lic. No. �—
Architect/Designees Address Architect/Designers E-mail Address
9521 Irvine Center Dr. eric@etadesign.com
City Irvine State CA Zip 92618 Telephone 949-861-2244
ENGINEER'S NAME Last Ross First Scott Lic. No C-45309
Engineers Address Engineers E-mail Address
1800 E. 16th Street Ste. B scoff@esifine.com
City Santa Ana State CA Zip 92701 Telephone 714-814-2119
CONTRACTOR'S NAMEFCOMPANY W
Lic No. 1 7 g aO y Class l B
Contractor's Address Contractors E-mail Address I /
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City r���/?Z" ``// State �� Zip �—
h'/ S _ P � q Telephone
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ENERGY P/C FEE $
GRADING P/C FEE $
FIRE P/C FEE $
PLANNING P/C FEE $
PERMIT NO.
PLAN CHECK NO
ELEC/PLUM/MECH P/C FEE $
DEVELOPMENT#
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PLAN CHECK FEE $
TOTAL FEES PAID $
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