HomeMy WebLinkAboutX2020-0200 - Permit ApplicationPrint Form
r Comm'I (X Residential
u."°R> orksheet for Building Combo Permit Application (Ml
, eCity of Newport Beach - Building Division)NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL `�'
jx Building r Grading
rDrainage r Elec r Mech
r" Plum Cu Yd Cut Cu Yd Fill I
Project Address (Not mailing address)
Floor Suite No
2615 Bamboo St. Newport Beach, Ca. 9266a
—
5 �—
fi'1VVI I
Description of Work
Use SFD
# StoriesF2 # Units (if Res)F
Valuation $
Material/Labor
New/Add SF� Remodel SF 1 5 I Garage/New/Ad
1i
22`i
OWNER'S NAME (9E&WTtg Gramian
First Anne
Owner's Address
Owner's E-mail Address 4 523/ 103
2615 Bamboo Street
annettep429@gmail.c0`m
City Newport Beach
State CA
Zip 92660 Telephone 949-573-3093
APPLICANT'S NAME
Last innes
First Elizabeth
Applicant's Address
Applicant's E-mail Address
9521 Irvine Center Dr.
elizabeth@etadesign.com
City Irvine
State CA
Zip 92618 Telephone 949-861-2244
ARCHITECT/DESIGNER'S NAME Last Trabert First Eric Lic. No. I —
Arch itect/Designer's Address
Architect/Designer's E-mail Address
9521 Irvine Center Dr,
eric@etadesign.com
City Irvine
State CA
Zip 92618 Telephone 1 949-861-2244
ENGINEER'S NAME
Last Fir Lic. No.F
Engineers Address
Engineer's E-mail Address
5 Lago Norte
robert@robertarmani.net
City Irvine
State CA
Zip 92612 Telephone 714-389-9729
CONTRACTOR'S NAME/COMPANY
r 1
l/
Lic No. F— ClassF—
Contractor's Address
Contractor's E-mail Address
City F
State r_,
Zip I Telephone
ENERGY P/C FEE $
FIRE P/CIFEE $
PERMIT NO. xyvU . u m
GRADING P/C FEE $
PLANNING P/C FEE $
PLAN CHECK NO. bm-a'.104
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
-
TOTAL FEES PAID $