HomeMy WebLinkAboutX2020-2365 - Permit ApplicationWorksheet for Building Combo Permit Application
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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 $
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