HomeMy WebLinkAboutX2022-0667 - Permit Applicationz G 667
Print l orm Worksheet for Building Combo Permit Application
Comm'I r Residential City of Newport Beach - Building Division o LoPY\P
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
F-Building r Grady r Drainage r Elec r Mech
[- Plum Cu vd Cut Cu Yd Fill F
Project Address (Not mailing address)
Floor Suite No
1300 Irvine Avenue, Newport Beach 92660
F F_
Description of Work
Use
Replacing Adding light fixtures the building exterior and site
and additional on
# Stories[— # Units (if Res)F_
Val uation$ �n1
Material/Labor � �/� O
New/Add SF� Remodel SF � Garage/New/Add �
OWNER'S NAME Last ity of Newport Beach
First
Owner's Address
Owner's E-mail Address
100 Civic Center Drive
city Newport Beach State CA
Zip 2660 Telephone
APPLICANT'S NAME Last auscher
First Peter
Applicant's Address
Applicant's E-mail Address
100 Civic Center Drive
ptauscher@newportbeachca.gov
City Newport BEach State PA —
Zip 2660 Telephone 49.644.3316
ARCHITECT/DESIGNER'S NAME Last Katz First eff Lic. No. C018223
Architect0esignees Address
Architect/Designer's E-mail Address
6353 Del Cerro Boulevard
eff@jeffkatzarchitecture.com
City an Diego State CA
Zip 92120 Telephone 619.698.9177
ENGINEER'S NAME Last Nathanson
First Knton Lic. No. 1090
Engineer's Address
Engineer's E-mail Address
6353 Del Cerro Boulevard
Nathanson@elenconsulting.com
City an Diego State CA
Zip 2120 Telephone F19.698.9177
CONTRACTOR'S NAME/COMPANY J�CI1V'T«/igTQb, 13t Ltt'�Rtc (fjL Lic.No. jpoq Z ClassAr-C;O
Contractor's Address
Contractors E-mail
�/, r/j-(�,�� �r (
nAddress
� /q�A
City NM%_ �j✓ V Q- 1 State I "F
Zip VL� Telephone FT � 22
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO. ✓
ELECIPLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $