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HomeMy WebLinkAboutX2019-1602 - Permit ApplicationPrint Fom,' Worksheet for Building Combo Permit Appel at ons r Comm'I R Residential q City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL �u l I•N" 1 Cu Yd RIF P?Building r— Grading Drainage R Elec R Mech 5Z Plum Cu Yd cut28� Project Address (Not mailing address) Floor Suite No 1419 Lincoln Lane �— Description of Work ��.. Use F Remodel of existing 4 bedroom 3, 351 s.f. single family residence. Project to consist of remodel of existing house and 506 s.f. attached 2 car garage. Removal of 56 s.f. at the dining nook and # StoriesF, Units (if Res)F ddition of 88 s.f. at the kid's Added 1 bedroom at existing 3,383 TOTAL playroom. la office. s.f. _ — Valuation $ 250,000 Material/Labor; New/Add SF 88 Remodel SF 1500 Garage/New/Add -- -- — -- OWNER'S NAME Last Russell First Brian &Leslie Owner's Address Owner's E-mail Address 1419 Lincoln Lane — leslierussellfamily@yahoo.com — — -- City Newport Beach State CA - -- Zip 92661 � Telephone 612.695.5483 F APPLICANT'S NAME Last ust First Eric Applicant's Address Applicant's E-mail Address 62 Balboa Coves aust.architect@gmail.com City Newport Beach State CA637.5220 Zip 92663 Telephone 49. ARCHITECT/DESIGNER'S NAME Lastust First Eric Lic. No C 29374 Architect/Designees Address ArchitectlDesigner's E-mail Address 2 Balboa Coves aust.architect@gmail.com City Newport Beach State CA Zip 92663 Telephone F9Z.W.5220 ENGINEER'S NAME Last Ross First colt Lic. No. C 45309 Engineer's Address Engineer's E-mail Address 1800 -E. -16th Street cott@esifine.com City Santa Ana State CA Zip 92701 -- Telephone 714.835.2800 CONTRACTOR'S NAME/COMPANY Unknown at Present Lic. No. ((��rjf ClassFb Contractor's Address Contractor's E-mail Addrr�esss../)��� 171 `�`C7 l''4/\C � _ fI�N U1V l.S�'-`_s� �IJR-�� .�✓� City ` State F7_Zip _ _ Telephone V t _ /_4� ��Qq 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 $