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HomeMy WebLinkAboutXC2022-1969 - Permit ApplicationWorksheet for Building Combo Permit Application (x Comm'I (— Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL FTBuilding r Grading (-"Drainage Ix Elec F- Mech Fx- Plum cuYdcutl CuYdFill Project Address (Not mailing address) Floor Suite No 610 Newport Center Drive F' 330 Description of Work Use FB Tenant improvement on t2,032 ftz of the total floor area. scope includes new power and mdercahinet lighting replacing nl, mhing fl%tLLrn eS llh"'orL, And npwfinishes _ # Stories 18 # Units (if Res)! ''" Valuation $ New/Add SF f Remodel SF 2,032 Garage/New/Add F— Material/Labor l OWNER'S NAME Last Chappell First Ally Owner's Address Owner's E-mail Address 111 Innovation Dr. Achappell@irvinecompany.com City Irvine State CA Zip 92617 Telephone 949-720-2156 APPLICANT'S NAME Last rorimoto First Jurina Applicant's Address Applicant's E-mail Address 3 Park Plaza, Suite 480 Jurina@oarchinc.com City Irvine State CA Zip 92614 Telephone 949.656.2882,704 ARCHITECT/DESIGNER'S NAME Last Oi First Dickson Lic. No. C32277 Architect/Designer's Address Architect/Designer's E-mail Address 3 Park Plaza, Suite 480 Dickson@oarchinc.com City Irvine State CA Zip 92614 Telephone 949.656.2882,7n� ENGINEER'S NAME Last Ghitea First Emile Lic. No. FE14780 Engineer's Address Engineer's E-mail Address 16501 Scientific Way Cornelia@pda-eng.com City Irvine State CA Zip 92618 Telephone 949-852-1491 CONTRACTOR'SNAME/COMPANY Lic. No. '��jGg Class Contractor's Address Contractor's E-mail Address City State F_ Zip F Telephoned ENERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO. >Zt57_,L — 1261 GRADING P/C FEE $ PLANNING P/C FEE $ PLAN CHECK NO. P�ZpZiZ — z3 / ELEC/PLUM/MECH P/C FEE $ PLAN CHECK FEE $ DEVELOPMENT # TOTAL FEES PAID $