HomeMy WebLinkAboutS2021-0031 - Permit ApplicationPrint Form Worksheet for RkAilding Combo permit Application o�EWPoR@�
(— Comm] (x Residential City of Newport Beach - Building Division � )9
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL oaN"
(X Building j Grading F-Drainage r Elec (f Mech r P I u CuYdCut CuvdFill F
Pir'uer,'� Address (WW irr a in9 addircess)
Floor Suite No
14UA Avocado Avenue, Coy°oUna Do II Wilair9 CA 92625 �--
Descripti ork p
- -- -
Use
Pool & Spa on Cnnc a C aiccnnc
# StoriesF_ # Units (if Res)1_
Valuation $ $120,000.00
Material/Labor
New/Add SF Remodel SF
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
Zip f 85260 J 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 I
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �- State F-J
Zip F— Telephone
ENGINEER'S NAME Last Petrov
J First Plamen Lic. No. C 66947
Engineer's Address
Engineer's E-mail Address
28161 Casitas Ct.
(consulting@pma-bg.com J
City Laguna Niguel State CA a
Zip 92677 Telephone (714) 717-7542
CONTRACTOR'S NAME/COMPANY F_
Lic. No. Class
Contractor's Address
Contractor's E-mail Address
City I State �—
Zip Telephone[
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NC
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECr, iv0.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $ I4��f3
DEVELOPMENT #
TOTAL FEES PAID $
241