HomeMy WebLinkAboutX2019-0153 - Permit Application�,,�
Print Form Worksheet for Building Combo`4e it Application i�i➢ ��° °�
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Comm'I [- Residential City of Newport Beach - Building Division a
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL �• '
FBuilding [-Grading
[—Drainage J7�Elec F/Mech Plum Cuvdcutr, CuvdFn[—
/address)
Project Address (Not mailing Floor suite No
1226 Keel Drive, CDMA
Description of Work
Use SFD
remodel of existing single family
dwelling & addition of 469 sa ft outdoor California Room &
# Storiesr7 UnitsRes)
bath.
new
I
,(if
Valuation $
MateriaVLabor 1 '
New/Add SF88
Remodel SF 1,800 Garage/New/Add
OWNER'S NAME
Last Tipton First Will & Monique
Owner's Address
Owner's E-mail Address
1226 Keel Drive
wtipton@merlonegeier.com
City Corona del Mar
State Iw Zip 92625 Telephone (949) 244-1874
APPLICANT'S NAME
Last Trabert First Eric
Applicant's Address
Applicant's E-mail Address
9521 Irvine Center Drive
eric@etadesign.com
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/Designer•s E-mail Address
9521 Irvine Center Drive
eric@etadesign.com
City Irvine
State[c; Zip 92625 Telephone949-861-2244
ENGINEER'S NAME
Last Manshadi First Farhad Lic. No.
Engineer's Address
Engineer's E-mail Address
1800 E. 16th Street Unit B
farhad@esifine.com
City Santa Ana
State I"" Zip 92701 Telephone 714-835-2800
CONTRACTOR'S NAME/COMPANY j 2✓Go . tS [ C Lic. No, 7 73z lass
Contractor's Address /!J
pip �tiaAQ� �'2-6o Contractors E-mail Address l@t/,
1
City P'Wy-k
State I dA- Zip 17-4F, d Telephone —$2 -
$2 -
ENERGY
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
D