HomeMy WebLinkAboutM2009-0038UheCK Appropriate bOX Tor Applicant
F', 5. Engineer's Name Last
Engineer's Address
........................... ....................................................................................................................
city State
............................................................................................................ F777
First Lic. No.
.............................................. ................ : F
................ .. ...... ..
Engineer's E-mail Address
... ..... ..... . ..... .................. ......................... .............................................................................. .............................
Zip Telephone
............................................ ........................... I ............
P Fir., Lic. N
6. Contractor's Name Last St 0. Class
.............. ............................. ........... ................ .... .. ....... ...................
Contractor's Address Contractors E-mail Address
.......................... ........................ ................................................................ ......................
Zip Telephone
city State
............. ......................... .......... ................................... ............................ I ........................... ... . .... ..
OFFICE USE ONLY ENERGY PIC FEE $ PERMIT NO.
GRADING PIC FEE $ PLAN CHECK NO.
ELEC/MECH/PLUM PIC PLAN CHECK FEE $
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Department
Please print 3 copies
�<Building
F7. Grading r—....Drainage [7 Elec 1—. Mec
WW W1%WrMv
W1 W,
1. Project Address (Not mailing address) It%
AC INIM WInT
?qtje No
. ......... .... .... I.J..".- .............
1W
.. ... .... ... ...
Tenant Name(if Applicable)
...........
_C�tyd7e .......... . IvIt \0 . ............ ..........
2. Description of Work
Use
k� ..... ............................................. ............................ ................................................................................................ ....................
...................... ..........................................................
Od
.............. .....
Exist House SF
Demo House SF Add/Reconstruct House SF
Valuation $
.................................
.............
Exist Gar SF
F77
........... ..................................
Demo Garage SF Add/Reconstruct Garage SF
F777 ....................... ..............
:
# Stories
F7
TOTAL HOUSE SF
Cu Yd Cut
[7. New
FDemo 'q4ITAL GARAGE SF
Cu Yd Fill
F77
141011 4
............. ..........
UheCK Appropriate bOX Tor Applicant
F', 5. Engineer's Name Last
Engineer's Address
........................... ....................................................................................................................
city State
............................................................................................................ F777
First Lic. No.
.............................................. ................ : F
................ .. ...... ..
Engineer's E-mail Address
... ..... ..... . ..... .................. ......................... .............................................................................. .............................
Zip Telephone
............................................ ........................... I ............
P Fir., Lic. N
6. Contractor's Name Last St 0. Class
.............. ............................. ........... ................ .... .. ....... ...................
Contractor's Address Contractors E-mail Address
.......................... ........................ ................................................................ ......................
Zip Telephone
city State
............. ......................... .......... ................................... ............................ I ........................... ... . .... ..
OFFICE USE ONLY ENERGY PIC FEE $ PERMIT NO.
GRADING PIC FEE $ PLAN CHECK NO.
ELEC/MECH/PLUM PIC PLAN CHECK FEE $
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ViCINITY 5KETC.H
)�4V_WPCOP r MIAY, CALIFORNIA
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RALPH H. WALKER, M. D.
CLYDE V. VON DER AHE, M. D.
SFYMOUR BENSON, M. D.
OBSTETRICS AND GYNECOLOGY
10711 RIVERSIDE DRIVE
NORTH HOLLYWOOD, CALIFORNIA 91602
May 20, 1975
Finance Director
City Newport Beach
Gentlemen:
0
Enclosed are fotostat copies of your statement for pier
administration dated March 1, 1975 and paid by me on April 15, 1975.
I have taken over the home owned�by my parents since their
deaths.
Mail addressed to them o* their estate does not reach me
very readily. Please change your records accordingly.
Sinc re y
de V. Von der Aher, M.D.
CVDA/nk