HomeMy WebLinkAboutXR2022-1890 - Permit ApplicationPrint Form
r Comm'I iX Residential
Worksheet for Building Combo Permit Application `W�
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL Jc.� a.,.
rBuilding rGrading j—Drainage rElec rMech rPlum a,YdculF CuYdFill F
Project Address (Not mailing address)
Floor Suite No
1008 Dover Drive
Description of Work
Use r-3
Kitchen Remodel, sliding door to replace french doors
# StoriesF # Units (if Res)F
Valuation S F15o,000
Material/Labor
New/Add SF�— Remodel SF 364
�
Garage/New/Add lO —
OWNER'S NAME Last Melenick
First Robert
Owner's Address
Owners E-mail Address
1008 Dover Drive
lbunkerbob200l@yahoo.com
City Newport Beach State CA
Zip F2660 Telephone F14-388-5505
APPLICANT'S NAME Last 7AM& A* OWu First
Applicant's Address
Applicant's E-mail Address
City I State F_
Zip F_ Telephone[�
ARCHITECT/DESIGNER'S NAME Last Hohmann First David Lic.No. C20378
Arch itect/Designer's Address
Arch itect/Designers E-mail Address
151 Kalmus Drive E-201
dhohmann@sbcglobal.net
City Costa Mesa State CA
Zip 92626 Telephone714-241-3600
ENGINEER'S NAME Last �
First F_ Lic. No.F—
Engineers Address
Engineer's E-mail Address
City �-- State F—
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY gD /n
IIYY
Nv, ic. No. f Z�j ,IassF
Contractor's Address
Contractor's E-mail Address
IF
I
CUAA
Cityes `--
Ijf State �
r
Zip q� 2'� Telephone �j? >
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO. xR21n2 Z
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO. PC ZOZZ�',
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE S i 6C)5, /_j s
DEVELOPMENT #
TOTAL FEES PAID $