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HomeMy WebLinkAboutX2020-2365 - Permit ApplicationWorksheet for Building Combo Permit Application YT2 F_ Comm'I F�-( Residential LV City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL 00', r.,Bujlding F` Grading [-Drainage Elec7 Mech J-1 Plum Urn Cu Yd Cut Cu Yd Fill [_j F F7 Project Address (Not mailing address) 14b W(4ykj0Vvb Floor Suite No [3616 BLUE KEY, CORONA DEL MAR, CA 92625 U F77 F Description of Work Use F7 - REMODEL EXISTING LIVING 2371 SF - RFPI ACF FYICTING ROOF Fly NEW ROOF Ill FS Stories[, # Units (if Res)—, 71 - 498 SF ADDITION: NEW CASITA & ENLARGED LAUNDRY ROOM ------ - - - - ---- - - --------- --- ------- - - ------ - - - - Valuation $ Material/Labor 178 New/Add SF REI0901:191MC17 Remodel SF PT?Toaowwo Garage/New/AddF OWNER'S NAME Last COOMBS --------- -- First BILL - - - -------- ----- Owner's Address (call Patti Coombs at 7=692SWor city fees)owner's E-mail Address 3616 BLUE KEY - --_-------- - --- _q0 State City FCO 7NiADELMAR zip 92625 „) TelephoneF777777 APPLICANT'S NAME Last DONG First ITROY ...... Applicant's Address 10692 SILVER CIR., Applicant's E-mail Address --- ------- .1________ ------ TRUONGDONG@GMAIL.COM City GARDEN GROVE State ----- -----_- - Zip 92843 Telephone ffj�4)-2N-?EIT ARCHITECT/DESIGNER'S NAME Last DONG First TROYLic. No. Architect/Designer's Address Architect/Designers E-mail Address 110692 SILVER CIR., _GDONG@GMAIL.COM [TIRUCM State City F77 Zip Telephone (714)-204-2874 Fq? ENGINEER'S NAME Last DONG First TROY Lic. No. C75466 Engineer's Address Engineers E-mail Address 10692 SILVER CIR., ITRUONGDONG@GMAIL.COM City 1GARDEN GROVE State CA Zip [92843 Telephone [(714)-_204-2874 Class CONTRACTOR'S NAME/COMPANY F VIES GASTINEAU/ BALBOA BAY BUILDERS Lic. No. Contractors Address Contractor's E-mail Address 216 APOLENA JAMES@BA LBOABAYBUILDERS.COM cityFNEWPORT BEACH State 77 ZIP F TelephoneF�3338408 ENERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO. GRADING PIC FEE $ PLANNING P/C FEE $ PLAN CHECK NO. I've IVIV ELEC/PLUM/MECH P/C FEE$ PLAN CHECK FEE $ DEVELOPMENT # 11 U10-0 I)Jli p TOTAL FEES PAID $ /Wo