HomeMy WebLinkAboutX2019-1093 - Permit ApplicationFdntForm Worksheet for Building Combo Permit Application
r Comm'I r Residential City of Newport Beach - Building Division Xj0f9- d i 3
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
f)—k Building r- Grading
I—Drainage r;Elec r',Mech rPlum cuvdCutF Cu Yd Fins
Project Address (Not mailing address) Floor Suite No
04 Via Lido Nord
Description of Work
Use
Kitchen remodel. AC installation.
Upstairs washer/dryer installation.
# Stories' # Units (if Res)F
-- -
Valuation$ 36736
Material/Labor
New/Add SFF—
Remodel SF 896 Garage/New/Add �'
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OWNER'S NAME
Last Handler First David
Owner's Address
Owner's E-mail Address
704 Via Lido Nord
avidchendler@gmail.com
City Newport Beach State F77 Zip P2663 Telephoner
APPLICANT'S NAME
Last King ! First Chris
Applicant's Address
Applicant's E-mail Address
29592 Ana Maria Lane
clking@cox.net
City Laguna Niguel
State CA Zip 92677 Telephone 49 249-5512
ARCHITECT/DESIGNER'S NAME Last Iskenclarian First FF7777 Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1100 S. Coast Hwy #316
odd@tsarchitectslb.com
City Laguna Beach
State CA Zip 2651 Telephone 49 715-1654
ENGINEER'S NAME
Last Larson i First Harold Lic. No. 3:j 222,
Engineer's Address
Engineer's E-mail Address
14 Glenneyre St.
harlar2001@aol.com
City Laguna Beach StateCA Zip 92651 Telephone 949 497 5203
CONTRACTOR'S NAME/COMPANY Chris King Construction, Inc. Lic. No.00201 Classy—,
Contractor's Address
Contractor's E-mail Address
9592 Ana Maria Lane
iking@cox.net
City Laguna Niguel
State CA Zip F2677 Telephone 49 249-5512
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO. 06 T
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK NO. c
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $ `7 '
DEVELOPMENT #
TOTAL FEES PAID $