HomeMy WebLinkAboutX2007-1681 - Permit Application (REVOKED)r
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Department
V, 007 - I wo I
F' Building j Grading (";Drainage f-,. Elec A 40
........ ... . Mech f-! plum
(Not mailing address)
Clez
Name(if Applicable)
Scription Of Work
........ .......
Exist House
Exist Gar SF
f- New
Floor Suite No
# Units (if Residential)
..... ..... ...........
Demo House SF
House SF
000
Demo Garage SF
Add/Reconstruct Garage SF
# Stories
Add Alter Demo TOTAL HOUSE SF
Cu
Yd Cut
TOTAL GARAGE SF 4
Cu Yd Hit
Owner's Name Last
5. Engineer's Name
Last
I .. ........ . ..
Last
.... ... . .. .
First
Lic. No.
Contractor's Address Class
Cont r ... .......
City
State
tNLRGY P/C FEE $
ac or s E-mail Address
Zip Telephone ............ ..................
17777
GRADING P/C FEE $ PERMIT NO.
Rev 1178107 ELEC/MECH/PLUM P/C ------------------- ----- L_ PLAN CHECK NO.
PLAN CHECK FEE $