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Print Form Worksheet for Building Combo Permit Application o F q>m
F- Comm'ICity of Newport Beach - Building Division t
iX Residential NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL U�
r_ -Building iXl Grading F -Drainage F- Elec r— Mech F-. Plum Cu YdCut F Cu Yd Fill F
Project Address (Not mailing address)
Floor Suite No
1 PARK NEWPORT, NEWPORT BEACH CA 92660 F _ F_
Description of Work
I Tensioned high strength steel mesh rockfall stabilization
on hillside.
Use
# Stories? # Units (if Res)[_
valuation$ Fs125,000
Material/Labor
New/Add SF Remodel SF ��
Garage/New/Add �,
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OWNER'S NAME Last PARK NEWPORT LP
First_____._____._._____._.�._._..________
Owner's Address
Owner's E-mail Address
201 FILBERT STREET STE. 700
KDRESSEL@GB-A.COM_
City SAN FRANCISCO State CA
Zip 94133 Telephone 415.391.1313
APPLICANT'S NAME Last DIAZ_
_ First JAMES
Applicant's Address _
Applicant's E-mail Address
1 PARK NEWPORT
JDIAZ@GB-A.COM
City NEWPORT BEACH State F CA
Zip 92660 Telephone F949.734.2379
ARCHITECT/DESIGNER'S NAME Last
First F _; Lic No.
ArchitectIDesigner's Address
Architect/Designer's E-mail Address
i
City State
Zip F Telephoners
ENGINEER'S NAME Last I KANE GEOTECH, INC. First Lic. No.F` 55714
Engineer's Address
Engineer's E-mail Address
6080 CENTER DR,, S FE 600
WILLIAM.KANE@KANEGEOTECH.COM _
City I LOS ANGELES State I CA
Zip Fgo045 Telephoner 323.331 9222
CONTRACTOR'S NAME/COMPANY r-
_ Lic. No. F'—Class F
Contractor's Address
Contractor's E-mail Address
City �.. State F_
Telephonev_...
Zip F F�
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO. {„a
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
D ELOPMENT #
TOTAL FEES PAID $