HomeMy WebLinkAboutM2020-0061 - Permit ApplicationPrint Form, 9
Comm'] r Residential
Worksheet for Building Combo Permit AMpp�icV 'L' ( "`��"'m
City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL G4I..%
r'Building r Grading rDrainage
rElec (-'Mech kCON C�.Ip. NutYd6,lldRK
Project Address (Not mailing address)
lraA o�l� NVIFloor
Floor Suite No
1120 West Bay Avenue
-F
F
Description of Work
Use t
seawall
# Storiest # Units (if Res)t i
INew
- -
_
Valuation 5 $30,000.00
Material/Labor
New/AddSFt— Remodel SF
Gara a/New/Add '
g
OWNER'S NAME Last Jim
FirstCollins
Owner's Address
-'
Owner's E-mail Address
2025 W. Balboa Blvd., Suite C
City Newport Beach
StateCA Zip 92663 Telephone�li
APPLICANT'S NAME Last Petrov
First Plamen
Applicant's Address
Applicant's E-mail Address
28161 Castes Ct.
CONSULTING@PMA-BG.COM
City Laguna Niguel
State CAZip
92677 Telephone 714-717-7542
ARCHITECT/DESIGNER'S NAME Last
First i Lic. No.
Address
Architect/Designer's E-mail Address
City—,
State �II
Zip F Telephone��,
ENGINEER'S NAME Last Petrov
First Plamen Lic No. C66947
�II
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. F__ Classy,
Contractor's Address
Contractor's E-mail Address
City
State
Zip F Telephoner
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO. MWM saw
GRADING P/C FEE $ PLANNING
P/C FEE $
PLAN CHECK NO. 27,
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $ i
DEVELOPMENT # ])js W • owl)
TOTAL FEES PAID $'