HomeMy WebLinkAboutX2021-2200 - Permit ApplicationPrint Form
F_ Comm'] r Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
rBuilding r Grading
rainage r Elec F_ Mech
r Plum Cu yd cut Cu Yd Fill
Project Address (No
mailing address)
Floor Suite No
501 Kings Place, Newport Beach 92663
F__
Description of Work
Use SFD
remodel existing kitchen & lanai. add w.i.c to building footprint. add new windows & doors
# Stories #Units (if Res)
A
dark room
Valuation $
New/Add SF .48
Remodel w/Add
12 000
Material/Labor
OWNER'S NAME
Last Ellis
First Andrew & Kelly
Owner's Address
Owner's E-mail Address
501 Kings Place
kelly@ellis.cc
city Newport Beach
State Ca
Zip 92663 Telephone 949-274-5060
APPLICANT'S NAME
Last Innes
First Elizabeth
Applicant's Address
Applicant's E-mail Address
9521 Irvine Center Drive
elizabeth@etadesign.com
City Irvine
State CA
Zip 92618 Telephone 949-861-2244
ARCHITECT/DESIGNER'S NAME Last Trabert First Eric �—
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
9521 Irvine Center Dr,
eric@etadesign.com
city Irvine
State CA
Zip 92618 Telephone 949-861-2244
ENGINEER'S NAME
Last Manshadi
First Farhad Lic. No. 336840
Engineer's Address
Engineer's E-mail Address
1800 East 16th St. Unit B
farhad@esifine.com
city Santa Ana
State Ca
Zip 92701 Telephone 557-335-4112
CONTRACTOR'S NAME/COMPANY
Lic.No. F__ Class
Contractor's Address
Contractor's E-mail Address
City I
State F
Zip F— Telephoned
ENERGY P/C FEE $
FIRE P/C FEE $
PERMIT NO. )CZD Z.I — 2z 0 O
GRADING P/C FEE $
PLANNING P/C FEE $
PLAN CHECK NO. ITT. 4 a
UM/MECH P/C FEE $
PLAN CHECK FEE $
n PMENT#
TOTAL FEES PAID $