HomeMy WebLinkAboutX2021-0217 - Permit ApplicationPrint Form Worksheet for Building Combo Permit AM21-1321
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-- Comm'I x Residential City of Newport Beach -Building Division ifs
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL `'«Faa�''
IYBuilding F Grading r-Drainage I- Elec Mech r P I u cu Yd Cutr Cu Yd Fill
Project Address (Plot mailing address)
ld� _ Floor Suite No
F07 Avocado Avenue, Corona Del Mar, CA 92625
Descripti k or
_
Use
Pool & Spa on Concrete Cai
# Stories[ # Units (if Resf
Valuation $ $120,000.00
Material/Labor
_
New/Add SF I _ Remodel SFr - —
Garage/New/Add
OWNER'S NAME Last Mike
First Pacheco —
Owner's Address
Owner's E-mail Address
14747 Northsight Blvd., Suite 111-431
City Scottsdale State [AZ �u
Zip F85260 TelephoneF
APPLICANT'S NAME Last Petrov
First Plamen
Applicant's Address
Applicant's E-mail Address
28161 Casitas Ct.
(consulting@pma-bg.com
City ILaguna Niguel State FcA4
Zip 192677 Telephone (714) 717-7542
ARCH ITECT/DESIGNER'_S_NAME Last I
_ _ First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
4
City State
Zip _ Telephone
ENGINEER'S NAME Last Petrov
First Plamen Lic. No.rC 66947
Engineer's Address
Engineer's E-mail Address
r281J Casitas Ct. y —u
consulting@pma-bg.com
City rLaguna Niguel State rCA��
Zip 192677 Telephone (714) 717-7542
CONTRACTOR'S NAME/COMPANY GIB OUS�C� 4meS v Lic. No. ��R7(7G� —Class
Contractor's Address
Contractor's E-mail Address
32�Q w,��le cuybrnhoes. - cCn
City I ���p^^ ^k�_._ - State _
Zip FCi J Telephone�r9C JQ� "3514
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NC
CHECi,1,40.
GRADING P/C FEE $ PLANNING P/C FEE
$ PLAN
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $
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