HomeMy WebLinkAboutX2019-0162 - Permit ApplicationPrint Form Worksheet for Building Combo Permit Application ��B
Fx_ Cornm'I r Residential City of Newport Beach - Building Division a
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
rx,Building F_ Grading
rDrainage [x Elec Fx_Mech Plum CuvdCut F cuvdFill
III
Project Address (Not mailing address) Floor Suite No
7227 West Coast Highway I
Description of Work
Use
Renovation ofexistingrcDffe
oungeto ted electrical, lumbing,and
# Stories # Units (if Res)F
mechanical wor .
t
New/Add SF
Remoli 185 � ,rage/New dd F
Valuation $ F$1 0,000
Material/Labor
OWNER'S NAME
Last ce t c Ke 'ta m First BALBOA BAY CLUB VENTURES, LLC
Owner's Address
Owner's E-mail Address
2532 Dupont Drive
City Irvine
State CA Zip 92612 Telephone 949-861-4700
APPLICANT'S NAME
Last Martin, Jr., (Sr. Project Manager) First William
Applicant's Address
Applicant's E-mail Address
1350 Coronado Avenue
wmartin@ko-al.com
City Long Beach
State CA Zip 90804 Telephone 562-597-8760
ARCHITECT/DESIGNER'S NAME
Last Kollin First Michael',
Lic. No. C21173
Kollin Altomare Architects
Architect/Designer's Address
Architect/Designer's E-mail Address
1350 Coronado Avenue
City Long Beach
State CA Zip 90804 Telephone 562-597-8760
ENGINEER'S NAME
Last %.V Firstit Lic. No. a QQ
AM �s' SCJ(,)
Engineer's Address
Engineer's. Addres
City !
-- State F Zip F- TelephoneF-
CONTRACTOR'S NAME/COMPANY'
I f(,ul Coy) s`ruct%'on lnC_ Uc.Nc. gieCA$_J Class
Contractoorar's Address
- - Contractor's E-mail Address
�J w.l" tU�1r
lYl AV�'_-_ s�'�ve.u�ilso ✓���Ce, Stiv_c'l ,c,n ce'^h
Cdy'1-GS_-_�Ie�)ot5
,, State Iii Zip -_g� 1 Telephone-ip2--`I�12.-BNw ---�
ENERGY P/G FEE $
FIREP/C FEE $ PERMIT NO. x ao 1-1 �^- Q/ W
G DIN1 P/C1FEE $
PANNING P/C FEE $ PLAN CHECK NO. d' 3�
t'IF(l /MECH P/C FEES
PLAN CHECK FEE $
D E,,LL/O MENT # DWI 1 q R7 0 -5� TOTAL FEES PAID $