HomeMy WebLinkAboutM2022-0029 - Permit ApplicationPrint Form
F_ Comm'I r Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME nF SI IRNnITTAI
xi
rBuilding rGrading
rDrainage F_Elec j—Mech (—Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address)
Floor Suite No
925 VIA LIDO SOLID
F
Description of Work
Use
# Storiess # Units (if Res)s
Valuation $
Material/Labor F$50,000.00
New/Add SF Remodel SF F Garage/New/Add F—
OWNER'S NAME
Last Gary
First Jabara
Owner's Address
Owner's E-mail Address
925 Via Lido Soud
City Newport Beach
State CA
Zip 92663 TelephoneF—
APPLICANT'S NAME
Last Petrov
First Plamen
Applicant's Address
Applicant's E-mail Address
28161 Casitas Ct.
CONSULTING@PMA-BG.COM
City Laguna Niguel
State CA
Zip 92677 Telephone 714-717-7542
ARCHITECT/DESIGNER'S NAME
Last First F
F—
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �—
Zip Telephoned
ENGINEER'S NAME
Last Petrov
First Plamen Lic.No.C66947
Engineer's Address
Engineer's E-mail Address
28161 Casitas Ct.
P.PETROV@PMA-BG.COM
City Laguna Niguel
State CA
Zip 92677 Telephone 714-717-7542
CONTRACTOR'S NAME/COMPANY
RSSor Gd' �c (11
Puc erS Lic No. �r(t(8 Class
Contractor's Address
Contractor's E-mail Address
City
State F
Zip Telephone[ —
ENERGY P/C FEE $
FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $
PLANNING P/C FEE $
PLAN CHECK NO`Q j 7
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $