HomeMy WebLinkAboutM2012-0034PrmtnForrr ,h Worksheet for Building Combo Permit Application
r—' Comm'I �i- Residential City of Newport Beach - Building Division
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F ;Building F Grading F -Drainage FElec F"' Mech F Plum Cu Yd cWO
cu Yd Ful p,Project
EWP �J DEA1%Rt
Address (Not mailing address)
No
F, MA 16
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Description of.Work
Use
# Stories # Units (if Resf
New/Add SF Remodel SF
Garage/New/Add
Valuation $
Mat( or
J_
OWNER'S NAME Last
First
Owa 's Address
Owner's E-mail Address
Jacquelyn.chung@sbcglobal.net
City Newport Beach State California Zip [19[:245W Telephone 949.631.3121
APPLICANT'S NAME Last Swift
First Pete
Applicant's Address
Applicant's E-mail Address
2027 Placentia Avenue
Jacquelyn.chung@sbcglobal.net
�. �W
Ci Costa Mesa State California
City
Zi ''92627 Telephone 949.631.3121
p F
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
Zip Telephoned
ENGINEER'S NAME Last Bazley
First Tim Lic. No. 50019
Engineer's Address
Engineer's E-mail Address
2500 Via Cabrillo Marina Unit 200
Jacquelyn.chung@sbcglobal.net
City San Pedro State California
Zip 90731 Telephone 949.631.3121
CONTRACTOR'S NAME/COMPANY Swift SlipDock and Pier Builders Lic. No, :797052 Class
Contractor's Address
Contractor's E-mail Address
12027 Placentia Avenue
'Jacquelyn.chung@sbcglobal.net
City Costa Mesa State California
Zip 92627 Telephone 949.631.3121
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO.�—
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $
I APPLICRNT' S NRME i HJ L,, OIC U/\l l JOB ADDRESS �4 L4 rj
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Print Form Worksheet for Building Combo Permit Application
j Comm'I Residential City of Newport Beach - Building Division ���
NOTE: PLAN CHECK FEE DUE AT TIME OF SUB
f 'Building F Grading F'"Drainage j_ Elec F Mech F Plum Cu Yd cut
Project Address (Not mailing address)
24 Linda Isle
Description of Work
OF-NEWP-ORT BEACH
Use
# Storiesr— # Units (if Res)
Valuation 15,000
New/Add SF Remodel SF�Garage/New/Add � Material/Labor bor
OWNER'S NAME Last Olson First Phil
Owner's Address Owner's E-mail Address
24 Linda Isle Jacquelyn.chung@sbcglobal.net
City Newport Beach State CA Zip 92660 Telephone 1 949.631.3121
APPLICANT'S NAME Last Chung First Jacquelyn
Applicant's Address Applicant's E-mail Address
2027 Placentia Avenue Jacquelyn.chung@sbcglobal.net
City Newport Beach State CA Zip 92627 Telephone 949.631.3121
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip Telephone
ENGINEER'S NAME Last First F Lic. No.1
Engineer's Address Engineer's E-mail Address
City State F Zip Telephone
CONTRACTOR'S NAME/COMPANY Swift Slip Dock and Pier Builders, Inc ��
Lic. Na 797052 Class'
Contractor's Address Contractor's E-mail Address
2027 Placentia Avenue Jacquelyn.chung@sbcglobal.net
City Costa Mesa State CA Zip 92627 Telephone 949.631.3121
ENERGY P/C FEE $
GRADING P/C FEE $
ELEC/PLUM/MECH P/C FEE $
DEVELOPMENT #
FIRE P/C FEE $
PLANNING P/C FEE $
PERMIT NO.
PLAN CHECK NO. (0Rj--CWj
PLAN CHECK FEE $
TOTAL FEES PAID $
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C "'Y OFF NEWNPORT BEACH
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CALIFORNIA
Cq<!®FtN P City Miall
3300 W. Newport Blvd.
Area Code 714
673-2110
.September 20, 1974
.Forrest Olson
#24 Linda Isle.
Newport Beach, Calif.
Dear Mr. Olson:
On March 1 of this year, in accordance with Chapter 17 (Pier
Registration Fees) of the City of Newport Beach Municipal
Code, a statement was mailed to all bayfront property owners
who have a pier and float facility bayward of their property.
According to our records, payment of the subject fee has not
been received by the City's Finance Department.
Section 17.33.050 of the Municipal Code states:
PENALTY FOR FAILURE TO PAY FEES. Any owner or
permit holder who fails to pay any fee required by this
Chapter within thirty (30) days after the same is due
shall be subject to a penalty in the amount of ten per
cent (10%) of the uncollected fee. Failure to pay the
fee plug any accrued penalty within sixty (60) days after
the fee was originally due shall constitute grounds for
revocation of the permit by the City Council.
To avoid further action by the City on this matter, please
remit the following amount.
Pier Registration Fee:
Past Due Penalty:
TOTAL FEE ";
Sincerely,
Glen E. Welden
Tidelands Operations Coordinator
Marine Department
GEW:lf
10.00
4.00
14.00