HomeMy WebLinkAboutX2020-1433 - Permit ApplicationPrint Form
fX Comm'[ F- Residential
Worksheet for Building Combo Permit Application (10�
�°City of Newport Beach - Buildin Division} ` ±'NOTE: PLAN CHECK FEE DUF AT TIME nFSI IRKAITTA�
(X Building I- Grading (-Drainage F Elecc
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r PI CuvdCutt Cu Yd Fill F
Project Address (Not mailing address)
Floor Suite No
_
1910 Birch Street Newport Beach, CA 92660
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Description of Work _�
Move �from
Use Office
existingA 3rd floor to 1st floor, install new HVAC
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electrical and new UPS load
# Stories[5 # Units (if Res)F
$
Material/Labor . Q
�—valuation
New/Add SF 10 Remodel SF Io
Garage/New/Add 10
---------------
OWNER'S NAME Last Atkins
-------._._...-----
First (-Daniel
Owner's Address
Owner's E-mail Address
4910 Birch St -- - --
-- -- - ----
City (Newport Beach State[CA
Zip 92660 Telephone 949-752-1400
APPLICANT'S NAME Last Randle
First Ronald
Applicant's Address
Applicant's E-mail Address
113850 Cerritos Corporate Drive Unit D
rgrandle@fcimgt.com
City (Cerritos State CA
Zip 90703 Telephone562-719-9300
ARCHITECTIDESIGNER'S NAME Last „ A First r1ww"_---
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City (--------- - State ------
Zip F Telephone(--- --
ENGINEER'S NAME Last Sutton
FirstCash Lic. No. E15831
Engineer's Address
Engineer's E-mail Address
6728 Homan Street
rsuttoncash@gmail.com
City Chino State CA
Zip 191710 TelephoneF
CONTRACTOR'S NAME/COMPANY M.C. Dean, Inc.
Lic. No. 953533 Class[C10
Contractor's Address
(1150 N. Richfield Rd.jim.kenna@mcdean.com
Contractor's E-mail Address
City Anaheim State CA
Zip 92807 Telephone 310-793-8880 _ (�
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C; FEE $
PLAN CHECK NO.
C/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
VELOPMENT # GS)Z0'Z,0 .- OZ-( TOTAL FEES PAID $
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