HomeMy WebLinkAboutX2021-0404 - Permit ApplicationPrint Form'
FX- Comm'I r Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division x 1-m- .-0(-j04
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
r",Building r Grading
rDrainage (-Elec rMech Plum CuvdCut F Cu yd Fill F
Project Address (Not mailing address) Floor Suite No
1800 W Balboa Blvd F �—
Description of Work
Use
Replacing contractor of record on
p g g permit X2020-1891 -Cell tower. Letter from owner
and contractor being replaced
attached.
# Stories # Units (if Res).
New Contractor- R D ENGINEERING & CONSTRUCTION INC City BL BT30063723
Valuation $ g798.00
Material/Labor
New/AddSF��
Remodel SF�� Garage/New/Add—
OWNER'S NAME
Last I' First \
Owner's Address
Owner's E-mail Address
City F
State Zip F Telephones_
If PPLICANT'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 First f Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
StateF Zip F Telephoned'
ENGINEER'S NAME
Last �— First Lic. No. F_
Engineer's Address
Engineer's E-mail Address
Cit F_
State F_ Zip o�
CONTRACTOR'S NAME/COMPANY IR D ENGINEERING & CONSTRUCTION INC Lic. No. F596438 ClassB, C70
Contractor's Address
Contractor's E-mail Address
1660 N MAGNOLIA AVE
wdavison@rdconstruction.com
City EI Cajon
State CA Zip 92020 Telephone (619) 562-225
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 FRA Vw
DEVELOPMENT #
TOTAL FEES PAID $