HomeMy WebLinkAboutX2022-0317 - Permit ApplicationPrint Form'
r Comm'I r Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL XZa' 03 11 G4soRRR
FBuilding r Grading F-Drainage rElec r', Mech DZ Plum Cuvdcutr Cu Yd Fill F
Project Address (Not mailing address)
Floor Suite No
2122 Bristol St, Newport Beach, CA 92660
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Description of Work
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V-
Use B H
Tenant Improvements to Existing Free -Standing building for a New Starbucks Coffee and
# Storiesr— # Units (if Res)'
(Drive- ru.
Valuation $
New/Add SF 2,565 Remodel SFFGarage/New/Add
Fqs0000
Material/Labo
OWNER'SNAME Last Wulfestieg
First Steve
Owner's Address
Owner's E-mail Address
555 Anton Blvd, Suite 300
Swuifest@Starbucks.com
City Costa Mesa State CA Zip 92626 Telephone 714-885-3924
APPLICANT'S NAME Last Anderson
First Amber
Applicant's Address
Applicant's E-mail Address
30 Executive Park, Suite 100
AAnderson@greenbergfarrow.com
City Irvine State CA
Zip 92614 Telephone 949-285-4760
ARCHITECT/DESIGNER'S NAME Last Couper First Doug Lic. No. C-25874
Architect/Designer's Address
Architect/Designer's E-mail Address
30 Executive Park, Suite 100
DCouper@greenbergfarrow.com
City Irvine State CA
Zip 92614 Telephone 714-292-1056
ENGINEER'S NAME Last
First F Lic. No.F
Engineer's Address
Engineer's E-mail Address
City State
Zip F Telephone—
CONTRACTOR'SNAME/COMPANY TBD SaAVC� ILQ�S Lic. No. �� 7/bY lass
Contractor's Address
Contractor's E-mail Address
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City ✓w Is State F_J7�
Zip T2 j Telephone
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO. 17
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO. U2Zgo- ZOZZ
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT # D 2-oZ (-' O qD Z
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TOTAL FEES PAID $