HomeMy WebLinkAboutX2020-2172 - Permit ApplicationBrim Form Worksheet for Building Combo Permit Application"`WPoRm
I— Comm'I FX_ Residential City of Newport Beach -Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL Zn
FX -Building r, Grading
rDrainage (-Elec rMech r Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) Floor Suite No
335 Lindo Ave....
Description of Work
Use
Master Bath- Remove existing bathtub. Install new acrylic tub and acrylic walls at same location/
# Storiesk # Units (if Res)r 1
Install n�izmg va ve.
(footprint.
New/Add SFF_
Remodel SF 15 Garage/New/Add F —
Valuation $ 6245
Material/Labor
OWNER'S NAME
Last Vercruse First I Daniella
Owner's Address
Owner's E-mail Address
335 Lindo Ave.
City Newport Beach
State CA Zip 92661 Telephone (909) 731-1070
APPLICANT'S NAME
Last Mills First Mike
Applicant's Address
Applicant's E-mail Address
6611 Longfellow Drive
mmills2consulting@gmail.com
City Buena Park
State CA Zip 90620 Telephone 714-336-5519
ARCHITECT/DESIGNER'S NAME Last I No s4lJJ;��
Lic. No. F_
Architect/Designer'sAddress
//ryry
Archite t/ signeI
K
City
State F Zip F ON �`6legklop
(J
ENGINEER'S NAME
Last �— First �� Lic. NoF
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip I Telephoned
CONTRACTOR'S NAME/COMPANY AMERICAN HOME REMODELING INC Lic. No. 807029 Class B,C36
Contractor's Address
Contractor's E-mail Address
4375 PRADO RD SUITE 108 daniel@goahr.com
City Corona
State CA Zip 92880 Telephone (951) 520-0654
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO.
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK N
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $