HomeMy WebLinkAboutX2019-0411 - Permit ApplicationACO
Worksheet for Building Combo Permit Application V
City of Newport Beach - Building Division X C)H I I
Fx Comm'I r Residential 20tq
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
FX -Building ( Grading f—Drainage Fx_Elec jX Mech r Plum Cu YdCut F Cu Yd Fill
Project Address (Not mailing address)
Floor Suite No
300 Placentia
�— zoo, zzo
Description of Work
Use Office �J
OfficeTI 2nd
floor layout. Associated MEP
with construction of new partitions ceiling per new
# Stor' s2 # Units (if Res)
Valuation $
New/Add SFF Remodel SF 6,476
Garage/New/Add—',
$350,000
Material/Labor
OWNER'SNAME Last Quiram
First Bill
Owner's Address
Owner's E-mail Address
500 Superior Avenue, Suite 300
City Newport Beach State CA Zip 92663 Telephone 9497644464
APPLICANT'S NAME Last Navidad
First Jesus
Applicant's Address
Applicant's E-mail Address
5161 California, Suite 100
'navidad@lpadesignstudios.com
City I ' e State CA
Zip 92617 Telephone 6263929322
Lic. No. ,
i/DESIGNR'S NAME Last Firsi
�►�
ct/Desg
Archite t/Des E-mail Address
5161 California, Suite 100
City Irvine State CA
Zip 92617 Telephone
ENGINEER'S NAME Last �/,�}� 7
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First ��f/1 Lir{h}q
Engineer's Address
Engineer's E- I Address v\
City � State �
Zip r— Telephoner
CONTRACTOR'S NAME/COMPANY
�=D�_r'N Lic. No. g3Fssq Class
t
Contractor's Address
Contractor's E-mail Address
I/
liGfitaINy Sf.
iNFF PC( Co,bsz
City3ertBeaeF��q 74v 4yq State CA
Zip Vi49 WbS7 Telephone -TtL/e gog77
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO. M -j
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $