HomeMy WebLinkAboutXR2023-0534 - Permit ApplicationPrint Form Worksheet for Building Combo Permit Application
(— Comm'I rx Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
I Building rGrading rDrainage [x—Elec rMech Plum CuydCut s CuydFius
Project Address (Not mailing address)f?tR Floor Suite No
12641 VISTA ORNADA, NEWPORT BEACH, CA 92660TO721 �%%� N/A N/A
Description of Work
Use R-1
INTERIOR REMODEL - REMOVE 1ST FLOOR WALLS; INSTALL NEW REPLACEMENT POSTS &
REAMS; .AME MASTER RATHROOKA oonenvr u R,ERI ACE FIXTURES IN POWIIER RncmA;
REROUTE DUCTING; ADD NEW SLIM -LINE CONDENSER AT WEST SI E OF HOUSE. # Stories(Z #Units (if Ress
Valuation $ $75,000
New/Add SF1 Remodel SF 460 Garage/New/Add �— Material/Labor
OWNER'S NAME Last IBROWN First
Owner's Address Owner's E-mail Address
531 CATALINA AVE sbrown@browncoinc.com
City NEWPORT BEACH State CA Zip 92663 Telephone 714.925.9600
APPLICANT'S NAME Last IDENGHAUSEN First
Applicant's Address Applicant's E-mail Address
P. O. BOX 1982 denghausen@dslextreme.com
;ity NEWPORT BEACH State CA Zip 92659 Telephone F49.735.2580
ARCHITECT/DESIGNER'S NAME Last DENGHAUSEN First HOWARD Lic. No. 14281
Architect/Designer's Address ArchitecVDesigner's E-mail Address
P. O. BOX 1982 denghausen@dslextreme.com
City NEWPORT BEACH State CA Zip 92659 Telephone 949.735.2580
ENGINEER'S NAME Last MORRIS First FLE Lic. No.72911
Engineer's Address Engineer's E-mail Address
1401 DOVE ST., SUITE 520 kyle@morengineers.com
City NEWPORT BEACH State CA Zip 92660 Telephony 949.502.5323
CONTRACTOR'S NAME/COMPANY IPATRICK BIONDINO / P. B. CONTRACTING Lic. No. 831793 Class
Contractor's Address Contractor's E-mail Address
1996 FULLERTON AVE. pat@pbcontracbng.net
City COSTA MESA State CA Zip 92627 Telephone949.2791698
NERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO. A V,%gTA!
. A �
GRADING P/C FEE $
ELEC/PLUM/MECH P/C FEE $
DEVELOPMENT#
PLANNING P/C FEE $
PLAN CHECK NO. 0�'&W'V?
PLAN CHECK FEE $
TOTAL FEES PAID $