HomeMy WebLinkAboutX2019-1449 - Permit ApplicationPrint Form I Worksheet for Building Combo Permit Application e�Poam
City of Newport Beach - Building Division /0V Z`��9 q o
�l Comm'I j- Residential NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
rlBuilding 7Grading j-i,Drainage 9Elec XMech rx-IPlumCu Yd cut �i Cu Yd Filll
Project Address (Not mailing address) Floor Suite No
2135 Westcliff Drive (Building 3), Newport Beach 92660 77 102
Description of WorkNJ
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Use lHzd4al o'( i'LO
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Tenant improvement for a new±2,845 sgft.tenant within The Walk
# Storiesn # Units (if Res)F
Valuation 5
Material/Labor
New/Add SF�I Remodel SF 2,845 j Garage/New/Add rI
_ _
OWNER'S NAME Last Frossard First Ann
Owner's Address Owner's E-mail Address
City Stale F77zipTelephoner
APPLICANT'S NAME Last. Noelia _ First Santiago. __ J
Applicant's Address Applicant's E-mail Address
5858 Wilshire Blvd., #200 nsantiago@valerioinc.com
City Los Angeles State CA —J Zip 90036 I Telephone 323-954-8996.134
ARCHITECT/DESIGNER'S NAME Last Valeno First Folo __ - Lic. No. C24228-
Architect/Designer's Address ArchitecUDesigner's E-mail Address
5858 Wilshire Blvd., #200 J entitlements@valerioinc.com
CityLos Angeles State C 323-4 8996
A , Zip 90036 Telephone 95
ENGINEER'S NAME Last SchoebergerFirst. Daniel_-_ _- I Lic. No. E013235.._ __
Engineer's Address Engineer's E-mail Address
7501 Brooksedge Blvd. jdurst@mengineering.us.com
City Westerville -I State OH- Zip 43081 Telephone 614-839-4639 -.-
CONTRACTOR'S NAME/COMPANY TBp Lic. No.�ClassFK
Contractor's Address Contractors E-mail Address
''. ',e6 -lam
_�'_ ns6�2'-I
City gl __. State -1 4 -- Zip -q2 J .Telephone ?/4' 7771
ENERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO. )(4AI % . I'ttlq
GRADING P/C FEE $ PLANNING P/C FEE $ PLAN CHECK NO. j'p12.24
ELEC/PLUM/MECH P/C FEE $ PLANCHECKFEE $
DEVELOPMENT # TOTAL FEES PAID $