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HomeMy WebLinkAboutX2017-3992 - Permit Applicationz803 -1z01_7 Print Form tJ Workshegt for Building Combo Permit Application! V0/7- 4R9;C (`V� (� , r City of Newport Beach -Building Division `� yt o � F- Comm'1 r Residential NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL c ..P" FX -Building [ Grading r -Drainage r' Elec r' Mech r Plum Cu Yd cuts Cu Yd Fill Project Address (Not mailing address) _ Floor Suite No 3921 Sandune Lane, Corona del Mar, Ca. 92625 F_ Description of Work Use SFD REMODEL OF EXISTING 1 STORY SFD - ADDING 209 SQ FT ON FIRST FLOOR, 307 SQ FT # Storiesll # Units (if Res)l L-ALIVUKNIA HIG1 TSS_NQ F I UF FA Valuation $ Material/Labor New/AddSFF Remodel SFJ qLW Garage/New/Add01 yJ OWNER'S NAME Last Fosheim First Jon & Penny Owners Address Owner's E-mail Address 3921 Sandune Lane pfosheim@yahoo.com/jfosheim@gmail.com City Corona del Mar State CA Zip 92625 Telephone 94932-5067 APPLICANT'S NAME First M P Last 51 _ 70 Applicant's Address Applicant's E-mail Address 9521 Irvine Center Drive City Irvine State CA Zip 92618 Telephone 949-861-2244 ARCHITECT/DESIGNER'S NAME Last Trabert First Eric Lic. No. F___— Architect/Designer's Address Architect/Designers E-mail Address 9521 Irvine Center Drive leric@etadesign.com City Irvine State CA Zip 92618 Telephone 949-861-2244 ENGINEER'S NAME Last Armani First Robert Lic. Nos— Engineers Address Engineers E-mail Address 8 Nice robert@robertarmani.net City Laguna Niguel State CA Zip 92677 Telephone 714-329-9876 CONTRACTOR'S NAME/COMPANY Bruce Rielly Lic No. t{f(, j q� Class Contractors Address Contractor's E-mail Address 1000 Quail St_ Ste. #250 brucerielly@aol.com City Newport Beach State CA Zip 92660 Telephone 949-887-6233 ENERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO. n,—'lj�j�f Z GRADING P/C FEE $ PLANNING P/C FEE $ PLAN CHECK NO.Q� ELEC/PLUM/MECH P/C FEE $ PLAN CHECK FEE $ DEVELOPMENT # TOTAL FEES PAID $