HomeMy WebLinkAboutXR2022-3337 - Permit ApplicationPrint Form
j Comm'I r Residential
Worksheet for Building Combo Permit Application oEg�
City of Newport Beach - Building Division
NOTE- PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
FXBuilding F- Grading F-Drainage r- Elec r Mech
j- Plum Cu Yd CutF Cu Yd Fill F
Project Address (Not mailing address)
Floor Suite No
1110 Kings Road, Newport Beach, CA. 92663
I �—
Description of Work
Use SFD
remodel to existing 2 story single family dwelling. 0 •
TJ� �iaIl �l
#Stories #Units (if Ress
Valuation"
New/Add SF 811.06 Remodel SFs-- Garage/New/Add F
Material/Labor
OWNER'S NAME Last Williams
First Amy
Owners Address
Owners E-mail Address
1110 Kings Road
amy@rovewithme.com
City Newport Beach State CA
Zip 92663 Telephone 949-463-6629
APPLICANTS NAME Last �—
First
Applicants Address -
Applicants Email Address
9521 Irvine Center Dr.
City Irvine State CA
Zip 92618 Telephone 949-861-2244
ARCHITECT/DESIGNER'S NAME Last Trabert First Eric Lic. No. F
Architect/Designers 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 Manshadi
First Farhad Lic. No C36840
Engineers Address
Engineers E-mail Address
1800 E. 16th St., Unit B
farhad@es"rfme.com
City Santa Ana State CA
Zip 92701 Telephone 657-3354112
CONTRACTOR'S NAME/COMPANY
Lic. No. F Class F—
Contractor's Address
Contractors E-mail Address
City F-- State F—
Zip F Telephoned
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO. % tOn• 'J
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO. ZOZZ� 32111
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT# 04111`0156
TOTAL FEES PAID$