HomeMy WebLinkAboutX2020-2179 - Permit ApplicationPrint Form
f— Comm'I r Residential
Worksheet for Building Combo Permit Application 00-
NOTE:
City of Newport Beach - Building Division ZO`ly - ZI �� PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
v
rBuilding r Grading rDrainage f Elec 7- Mech F- f.LUn CuydcutF CuvdFill F
Project Address (Not mailing address)
Floor Suite No
18 Cormorant Circle, NB
I
Description of Work
Use SFD
replaced all existing windows/doors, duct
replaced work, added
electrical & added
new stair railing
# StoriesF2 # Units (if Res)[—
. �A.
�4
New/AddSF� Remodel SFF�
Garage/New/Add �—
Valuation $
Material/Labor
OWNER'S NAME Last
Voss
First F Michael & Melanie
Owner's Address
Owner's E-mail Address
18 Cormorant Circle
hyenaction@aol.com owners representative
City Newport Beach
State F CA Zip 92660 Telephone 9-294-5252
APPLICANT'S NAME Last
Innes
FirstElizabeth
Applicant's Address
Applicant's E-mail Address
9521 Irvine Center Drive
elizabeth@etadesign.com
City Irvine
State F CA
Zip 92618 Telephone 949-861-2244
ARCHITECT/DESIGNER'S NAME
Last rabert
First Enc F_
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
9521 Irvine Center Dr.
eric@etadesign.com
City Irvine
State CA
Zip 92618 Telephone 949-861-2244
ENGINEER'S NAME Last
Manshadi
First Farhad Lic. No.F
Engineer's Address
Engineer's E-mail Address
1600 E. 16th St.Ste. B
farhad@esifine.com
city I Santa Ana
State F CA
zip 1 92701 Telephone 714835-2800
CONTRACTOR'S NAME/COMPANY
Lic. No. F—_ Class F_
Contractor's Address
Contractor's E-mail Address
City
State F
Zip F— Telephoned
!li 44
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 $