HomeMy WebLinkAboutX2019-0605 - Permit ApplicationP,'O Form`_
j9', Comm'] r! Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division 0432"2014 0
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL -0605
[i,Building (- Grading
rDranBc Mach um a, d a Yd Rna
Project Address (Not mailing address) Floor 8titeNo
601 W. Coast Highway F— F
Description of Work
Use F7
Basting restaurant remodel
#Etoriesi #Units(if Fps)
M'
Valuation
New/Add
R00
model g�—', Garage/New/Add �—
— -
$ ,0
Material/Labor
OWNERSNAME
Last Moshayedi First Mike
Owner's Address
Owner's E-mail Address
6 Deep Sea
mike.moshayedi@gmail.com
City Newport Beach
State CAZip F2657 Telephone 49-232-5024
APPLICANT'SNAME
Last ruxaw First Pete
Applicant's Address
Applicant's E-mail Address
1 1. 85 Airway Avenue, C-2
ptruxaw@mamason39.com
City Fosta Mesa
State FA — Zip F2626 Telephone 14-335-8368
AFtCfIITECT/DESIGNERSNAME Last McCormack First RickI
Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
050 Pullman Street
rick@ studiomccormac k.com
City osta Mesa
State CA Zip 2626 Telephone 49-200-8951
ENGINEERSNAME
Last First F777 ', Ua No,[ --
Engineer's Address
Engineer's E-mail Address
�f
City
State Zip Telephone
CONTRACiORSNAMFICOMPANY PBcl Lie. No. 197 ass
Contractors Address
Contractor's E-mail Address
765 Westminster Ave, Ste.
F-462 ake@jcbi.us
City estminster
State CA Zip 2683 Telephone 14-406-7655
ENERGY P/C FEE $
RREP/CFE£$ PERMIT NO. �JOI°! • OfioS
GRADING P/C FEE $
PLANNIN/CC FE PLAN CHECK NO. D�34•u(gq
ELEC/PLUM/MECH P/C FIE $
I"
PLAjf ICHECK FEE $
DEVELOPMENT 4
i GAJ. FEES PAID $