HomeMy WebLinkAboutF2015-0107 - Permit Application (3)Print Form Worksheet for Building Combo Permit Application
F_ Comm'I rX_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
FX Building JX Grading FXDrainage fX Elec FX Mech [x— Plum cuYdcutj CuYdFill
Project Address (Not mailing address)
621 Catamaran, Corona Del Mar
Description of Work
Use R-1
Suite No
MOW ACi^ nnh- fAM iy racirlanra - damn existing (2) storehouse / hardscape / landscape # Storiesr2 #Units (if Res)r 1
Valuation $
New/Add SF 5,944 Remodel SF 0 Garage/New/Add 612 Material/Labor
OWNER'S NAME Last Volkov First Alicia
Owner's Address Owner's E-mail Address
3621 Catamaran mango ivy@pacbell.net
City Newport Beach State CA Zip 92660 Telephone 415-951-1767
APPLICANT'S NAME Last LeTourneau First Chris
Applicant's Address Applicant's E-mail Address
250 Newport Center Dr - Suite 305 chris@letourneau-architecture.com
City Newport Beach State CA Zip 92660 Telephone 949-673-3834
ARCHITECT/DESIGNER'S NAME Last LeTourneau First Chris
Lic. No. B-30692
Architect/Designer's Address Architect/Designer's E-mail Address
250 Newport Center Dr - Suite 305 chris@letourneau-architecture.com
City Newport Beach State CA Zip 92625 Telephone 949-933-2879
ENGINEER'S NAME Last Wallace First Scott Lic. No. SE 3613
Engineer's Address Engineer's E-mail Address
22706 Aspan St. #402 scott@wallacese.com
City Lake Forest State CA Zip 92630 Telephone (949) 455-9875
CONTRACTOR'S NAME/COMPANY
Lic. No. ' (PI Class
Contractor's Address Contractor's E-mail Address
r - A Colo►IdC-t
City f)y' 1 ,qVJ aJ 1[-e tt State �� {� Zip qE Telephones
ENERGY P/C FEE $
GRADING P/C FEE $
ELEC/PLUM/MECH P/C FEE $
FIRE P/C FEE $
PLANNING P/C FEE $
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $
DEVELOPMENT#
TOTAL FEES PAID $