HomeMy WebLinkAboutX2011-2592 - Permit ApplicationE
Print Form
r Comm'I )( Residential
Worksheet for Building Combo Permit Afp lication �zEWPoRa
City of Newport Beach - Building Division �(1 �f��'1
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NOTE: PLAN CHECK FEE DUE AT TIME OF SLI Aill 1tLJ 5<mas
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Project Address (Not mailing address)
Floor Suite No
304 Orchid Aveue, CDM
F
Description of Work
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Remove tbeAxisting portion of the dwelling tat :s ti ft
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# StoriesF1 # Units (if Res)I 1
Valuation $ C9dC7
Material/Labor
New/Add SF — Remodel SF -90
Garage/New/Add F
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OWNER'S NAME Last (Bailey Trust
First I Letha
Owner's Address
Owner's E-mail Address
304 Orchid Avenue
City CDM State CA Zip 92625 Telephone 949-723-0440
APPLICANT'S NAME Last Peheber
First Rod
Applicants Address
Applicants E-mail Address
410 32nd Street, Suite 202
rajeheber@gmail:com
City Newport Beach a State CA
Zip 92663 Telephone 949-723-4393
A CHITECT/DESIGNER'S NAME Last Jeheber
First Rod Lic. No. �—
Architect/Designer's Address
Architect(Designer's E-mail Address
410 32nd Street, Suite 202
rajeheber@gmail.com
City Newport Beach State CA
Zip 92663 Telephone 949-723-4393
ENGINEER'S NAME Last
First F Lic. No f —
Engineer's Address
Engineer's E-mail Address
City State F—
Zip Telephoner
CONTRACTOR'S NAME/COMPANY
/Lic. No. SCSS'5&) Class( 73
Contractor's Address pntractor's E-mail Address
C9��Z)
City State FA
Zip Telephone 723-v,* lva'
P/C FEE $ FIRE P/C FEE$�T
PERMITNO.P/C
FEE$ PLANNING P/C FEE $
S
PLANCHECKNO. 12M/MECH
P/C FEE $
PLAN CHECK FEE $LOT &(.+
DEVELOPMENT #
TOTAL FEES PAID $