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HomeMy WebLinkAboutX2022-1414 - Permit ApplicationPrint Form Worksheet for Building Combo Permit Application FX Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL rBuilding j— Grading j—Drainage r Elec FX_ Mech rx- Plum CuYdCut s CuYdFill Project Address (Not mailing address) Floor Suite No 2122 Bristol St, Newport Beach, CA 92660 I' F— Description of Work Use s Demolition Permit prior/Tenant Improvements to Existing Free -Standing building for a New # Storiess #Units (it Res)s Valuation abor % rJ Material/L01 ©UUCP t3ta�c ss. 2�5 SFbuuilding. New/Add SFs Remodel SFF Garage/New/Add I OWNER'S NAME Last 1Nulfestieg First Steve Owner's Address Owners E-mail Address 555 Anton Blvd, Suite 300 Swulfest@Starbucks.com City Costa Mesa State CA Zip 92626 Telephone 714-885-3924 APPLICANT'S NAME Last Anderson First Amber Applicant's Address Applicant's E-mail Address 30 Executive Park, Suite 100 AAnderson@greenbergfarrow.com City Irvine State CA Zip 92614 Telephone 949-285-4760 ARCHITECT/DESIGNER'S NAME Last Couper First Doug Lic. No. C-25874 Architect[Designer's Address Architect/Designers E-mail Address 30 Executive Park, Suite 100 DCouper@greenbergfarrow.com City Irvine State CA Zip 92614 Telephone 714-292-1056 ENGINEER'S NAME Last First Lic. No.s Engineer's Address Engineers E-mail Address City State F_ Zip F_ TelephoneF_ CONTRACTOR'S NAME/COMPANY John Vos Lic. No. C-J 1 I G q Class Contractor's Address Contractors E-mail Address 18011 Sky Park Circle, Suite E - ,J City Irvine State CA Zip 92614 Telephone 949-955-2300 ENERGY P/C FEE $ 4ADING P/C FEE $ /PLUWMECH P/C FEE $ FIRE P/C FEE $ PLANNING P/C FEE $ PERMIT NO. X 2 011 • 1 qI&I PLAN CHECK NO. PLAN CHECK FEE $ 'L�l OPMENT # TOTAL FEES PAID $