HomeMy WebLinkAboutX2011-1320 - Permit ApplicationPrirtForm ;
Please print 3 copies
1. Project Address
...___....---.._......_._..__.._ _...,.._
1690 NCD
1320
G90 Newport Cevv+er
Worksheet for Building Combo Permit Application ��� ►iY
City of Newport Beach - Building Department '„ `!
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iX Buildingi Grading 9 f 'Drainage Elec j- Mech f-- Plum
Floor Suite No
Tenant Name(if Applicable) I # Units (if Residential)
2. Descrt tion of Work —"
Use!
Paol fiquiptrieriE',nClosur�)E9' x 1�5 8'
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.-...._..._..._ 1._.._.___...._„.._. �.......____...—.._,._._.. valuation $ i
Extg Building SF� Demo Building SF Add/Reconslruot Bldg SF J
T JJ
Extg Gar at } Demo Garage sf Add/Reconstruct Garage at W Stories g
TOTAL BLDG SF Cu Yd Cut
(-- New Add Alter Demo ........_..._._..._.........._._.._._..
TOTAL GARAGE SF ( Cu Yd FIII
Check Approorlat2 Box for Applicant
(X 3. Owner's Name Last Carey �—
m
First Tim
Owner's Address
110 innovation
i
Owner's E-mail Address
tcarey@irvinecompany.com
city ne State
3CA
Zip 92617 Telephone 949-720-2000
13Z 4. Architect(Designer's Name Last rKelly
First Usmes
Lic. No.
Architect/Designer's Address
5161 California Avenue, Suite 100
Architect/Designer's E-mail Address
gbroming@lpainc.com Gloria Broming
city 11 rvine State
CA
Zip 192617 Telephonel949-261-1001
iX 5. Engineer's Name Last McLellan
First Mark
Lic, No �51031
r
Engineer's Address
it Technology
Englneer"s E-mail Address
1p'at.osborne@stantec.com
City Irvine State
iCA
Zip 92618 Telephone!949.923.6000
IX 6. Contractor's Name Last TBD
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First Lic. No,
Class(
Contractor's Address
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Contractor's E-mail Address
City State
I
Zip Telephoner
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OFFICE USE ONLY ENERGY PIC FEE $
PERMIT NO.
GRADING P/C FEE $ FIRE
P/C FEE $
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PLAN CHECK NO.
Rev4116109 ELEC/MECH/PLUM P/C FEE $
PLAN CHECK FEE $