HomeMy WebLinkAboutX2011-1319 - Permit Application69C, f�eW���r� cecn�fr
Print Form Worksheet for Building Combo Permit Application
City of Newport Beach - Building Department
Please print 3 copies
U Building I-- Grading j""Drainage (— Elec r Mech I' Plum
1. Project Address
...__ .._.-,_.. _,.___....__._._.
B90 NCD
Tenant Name(if Applicable) J
Floor Suite No
if Units (If Residential)
2. Description of Work*all 104 W x 2'H Wall By" 27 W x Xrl' Wall C 4e'W x 3N Wall q 42'W x T H
Use
Wait 96,W x 3'-6' H Wall PjI5'W x ?. H Wali %48'W x 1'H
,Wall J F8`W x 3 6' H Wei HH4140'11 x T-14'H:
Well 145'W x T6' H"
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r.,._.,. .Ciao
Extg Building SF�
Demo Building SF!
AddlKedonstruct Bldg aF
Valuation $ (5, w v
Extg Gar sf
Demo Garage sf
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Add/Reconstruct Garage sf
it Stories j
TOTAL BLDG SF
Cu Yd Cut
(" New r" Add
j" Alter ("` Demo
TOTkL,GARACaE $F
Cu Yd Fit
Check Approlariato Box for Applicant
X 3. Owner's Name Last Carey
First Tim
Owner's Address
Owner's E-mail Address
—..T.,.,__,_._.._.....____..__,.,..,_.____....._.,.._.,_,__.__..,_._....,.�_........
110 Innovation
tcarey@irvinecompany.com
City Irvine State ICA
Zip [92617� TslephoneJ949.720 2000
IX 4. A inch itect/Desi gn er's Name Last Kelly
First James
Lic, No,
Architect/Designer's Address
Architect/Designer's E-mail Address
5161 California Avenue, Suite 100
gbroming@lpainc.com Gloria Broming
City Irvine._....._.._..__.._.,_,.______,.._, State `CA
Zip�'2617 Telephone1949-261-1001
- - -- ---- -- ---- ------
(X S. Engineer's Name Last McLellan
--
First (Mark
Llc. No. 51031
Engineer's Address
Engineer's E-mail Address
119 Technology
Ipat.osborne@stantec.com
City Irvine State ICA
Zip 92618 Telephone 949-923-6000
IX 6. Contractor's Name Last TBD
First 1 Lic. No.
Class
Contractor's Address
Contractor's E-mail Address
City T State
Zip Telephone;
OFFICE USE ONLY ENERGY P/C FEE $
PERMIT NO.
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! - ii
GRADING PIC FEE $ FIRE P/C FEE $
PLAN CHECK NO. l'
20 t
Rev4116109 ELECIMECH/PLUM PIC FEE $
PLAN CHECK FEE $ _