HomeMy WebLinkAboutX2021-0165 - Permit ApplicationPrint Form__ { woricsneet Tor tsuiiaing comoo vermit Appllcatlon oN "m
F_ Comm'I r Residential City of Newport Beach - Building Division Q®
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL oar"
rBuilding F_ Grading
(Drainage jl Elec rMech F- plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address)
Floor Suite No
819 VIA LIDO SOLID
F
Description of Work
Use
Pool P, Spa on Concrete Caissons
# Stories # Units (if Res)F—
rya Kz_ 14 GAV��
Valuation
New/AddSF�
Remodel SFF—
Garage/New/Addy
$ $100,000.00
Material/Labor
OWNER'S NAME
Last Gary
First Jabara
Owner's Address
Owner's E-mail Address
819 Via Lido Soud
city Newport Beach
State CA Zip 92663 Telephone—'
APPLICANT'S NAME
Last Petrov
First Plamen
Applicant's Address
Applicant's E-mail Address
28161 Casitas Ct.
CONSULTING@PMA-BG.COM
City Laguna Niguel
State CA
Zip 92677 Telephone 714-717-7542
ARCHITECT/DESIGNER'S NAME
Last
First Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_.
Zip I TelephoneF
ENGINEER'S NAME
Last Petrov
First Flamen Lic. No. C66947
Engineer's Address
Engineer's E-mail Address
28161 Casitas Ct.
P.PETROV@PMA-BG.COM
City Laguna Niguel
State CA
Zip 92677 Telephone 714-717-7542
CONTRACTOR'S NAME/COMPANY
�� Lic. No. /s"�J� Class ST�
Contractor's
Contractor's E-mail Address
rAddress
(/
-" LBeii U os
City�l / /S.nt State
Zip C -Z — Telephone cf7.�c�,/7G�
I
ENERGY P/C FEE $
FIRE P/C FEE $
PERMIT NO.AU7.1 -DI/b5 S%014 -Go
GRADING P/C FEE $
PLANNING P/C FEE $
PLAN CHECK NO. Q t",r,10 . 2_V 2(
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $ 12 `T t 3
DEVELOPMENT #
"Ui
TOTAL FEES PAID $