HomeMy WebLinkAboutX2020-1327 - Permit ApplicationWorksheet for Building Combo Permit Applicatioll.110MENMR, -
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f— Comm'I Residential City of Newport Beach - Building Division Xzozo- 1511
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL -1 WWI
FK -Building F7, Grading
F;Drainage rx;Elec r7 Mach r" PI u m Cu Yd Cut F_7 Cu Yd Fill
Project Address (Not mailing address) Floor Suite No
414 Acacia Ave.
Description of Work
Use
Kitchen and master bath remodel,
Replacement of select exterior windows, now exterior door
openings at front of building
# StorlesF2 #Units (if Res)711'
Now/Add SFF-
Remodel SFF�___ Garage/New/AddF77-77
Valuation 8 895,000
Material/Labor
F8951000
OWNER'S NAME Last Graham First IMatt
Owners Address
Owner's E-mail Address
13412 Border Links Dr.
Fm—att@mdgre-com
City [Visalia
j State ICA Zip 93291 Telephone 559-804-9371
APPLICANT'S NAME
Last Parks I First Michael
I I
Applicant's Address
Applicant's E-mail Address
4920 W. Monte Verde Ct.
Imichael@ddstudiosinc.com
City Visalia
StateA zip F�� Telephone F559797-3993
F ------
ARCHITECT/DESIGNER'S NAME Last 1Parks First Michael 1 Lic. No. 634173
Architect/Designees Address
Architect/Designers E-mail Address
11920 W. Monte Verde Ct.
ich ael @d clst udio si nc.c o m
11 m
- - - - , - , - , -
C Visalia State A Zip 93277 Telephone F59 697-3993
ityl F F
ENGINEER'S NAME
Last Scott First jJZsorLie. 1\146631 81
Engineers Address
Engineer's E-mail Address
1 1001 N. Demeree, Suite 7
i Vmsengineering@comcast.net
city lVisalia-
State CA Zip 93291 TelephoneF 559-738Z68
CONTRACTOR'S NAMEXOMPANY Lic. No. 7731'kc classFT
Contractors Address
Contractors E-mail Address
city -Z
FN
State F—A', Zip Telephone'
ENERGY P/C FEE $
FIRE P/C FEE 8 PERMIT NO j
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK No
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
1 12EVEI QEWFNjjL_
TOTAL FEES PAID $
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