HomeMy WebLinkAboutX2022-0101 - Permit Application2� fflrr Worksheet for Building Combo Permit Application a�` Z
r` Comm'I r Residential City of Newport Beach - Building Division�2� In t7
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL V
rX',Building rGrading(;Drainage r-1 Elec j Mech rPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) Floor Suite No
710 Poinse11 ttia Avenue F
Description of Work
Use
Remove and replace southwesterlyline MQ11 with newma®onry wall and fence
# Stories. #Units (if Res)
.- ...
_..__.... .......
Valuation $ 53,500.00
New/Add SF�_.._ �-
Remodel SF7 Garage/New/Add F_ Material/Labor.
OWNER'S NAME
Last Borgia
First Mary
Owner's Address
Owner's E-mail Address
710 Poinsettia Avenue
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mborgia@borgia.org
-- .-_ _._ ____-_
City Corona Del Mar
StateCA Zip 92625 Telephone (949) 422-0600
APPLICANT'S NAME
Last Rodriguez First Iris
Applicant's Address
Applicant's E-mail Address
1519 Calle Valle
iris@peterassoc.com
City San Clemente
State CA
Zip 92672 Telephone (949) 492-3735
ARCHITECT/DESIGNER'S NAME
Last
I First Lic. No. r
Architect/Designer's Address
_ -
Architect/Designer's E-mail Address
„-----
City
--- ----- ..— _I
State-;
Zip(--- Telephone..-.
ENGINEER'S NAME
Last Stephen
FirstPeter _. Lic. No. RCE 38623
Engineer's Address
Engineer's E-mail Address
1519 Calle Vallesteve@peterassoc.com
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---
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City San Clemente
State CA
Zip 92672 Telephone (949) 492-3735
CONTRACTOR'S NAME/COMPANY TBD
Lic. No. Class
Contractor's Address
Contractor's E-mail Address
City __„
State
Zip Telephoned--:
ENERGY P/C FEE $
FIRE P/C FEES
PERMITNO.
GRADING P/C FEE $
PLANNING P/C FEE $
PLAN CHECK NO. �� �✓ �p'j.l
ELEC/PLUM/MECH PIC FEE $
PLAN CHECK FEE $ ��I% • �Z
DEVELOPMENT #
TOTAL FEES PAID $
10� 6(�