HomeMy WebLinkAboutXR2024-0819 - Permit ApplicationPrint Form
r Comm'I F Residential
Worksheet for Building Combo Permit Application °ar
City of Newport Beach - Building Division o mF
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
QBuilding rGrading rDrainage QElec rMech
RPlum Cu Yd Cuts Cu Yd Fill
Project Address (Not mailing address)
Floor Suite No
14 Shoal Dr, Corona Del Mar, CA 92625
�—
Description of Work
Use
Master and Hallway bathroom remodel
# Stories # Units (if Res)s
Valuation $
New/Add SFF Remodel SF 300 Garage/New/Add F—
50,000.00
Material/Labor
OWNER'S NAME Last Fraass
First Benedick
Owner's Address
Owner's E-mail Address
14 Shoal Or
bfraass@umich.edu
City Corona Del Mar State ca
Zip 92 Telephone 310-606-0495
APPLICANT'S NAME Last Mirhossein
First Seyed
Applicant's Address
Applicant's E-mail Address
3031 S Main Street
rambo@kitchenandflooring.com
City santa ana State ca
Zip 92707 Telephone 714606-9630
ARCHITECT/DESIGNER'S NAME Last First F_ Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
CiTy State F_
Zip F_ Telephones
ENGINEER'S NAME Last
First F_ Lic. No.1
Engineer's Address
Engineer's E-mail Address 6Lq
City State I
Zip F_ TelephoneF—
CONTRACTOR'S NAME/COMPANY Main Street Kitchen and Flooring Lic. No. 1080262 Class
Contractor's Address
Contractor's E-mail Address
3031 S Main Street
rambo@kitchenandflooring.com
City santa ana State ca
Zip 92707 Telephone 714 444-3004
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $