HomeMy WebLinkAboutX2018-1132 - Permit Application'Print Form
r Comm'I r Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
0_0
rBuilding rGrading rDrainage rElec rMech
rPlum Cu Yd Cut Cu Yd Fill
oject Address (Not mailing address) t / ., 19 0 . 2 n 9 f— Floor Suite No
4500 MacArthur Blvd.vj �� �—
1
Description of Work
Use Hotel
# Stories 10 # Units (if Res)F—
Valuation$
Material/Labor ✓I 0
Renovation of Guestroom at north & west wing) -Remove existing Tub and replace with
shower pan and glass sliding doors. (king rooms only)
(eve exist vanit error. ep ace wrt�i newTanity awn �ackl t mirror. - emove an
reH moplace floor and wall finishes at sleeping area and bathroom all guestrooms Im
F-
New/Add SFI Remodel SF a80 � �(- Garage/New/Add
db 0
OWNER'S NAME Last WJ Newport, LLC
First
Owner's Address
Owner's E-mail Address
730 N. Diamond Bar Blvd.
City Diamond Bar State CA
Zip 9165 Telephone �—
APPLICANT'S NAME Last Mendez
First Jose
Applicant's Address
Applicant's E-mail Address
144 N. Orange St.
jmendez@architectsorange.com
C.., Orange State CA
Zip 92866 Telephone 714-289-3252
ARCHITECT/DESIGNER'S NAME Last Architects Orange First— Lic.No.l
Architect/Designer's Address
Architect/Designer's E-mail Address
144 N. Orange St.
jmendez@architectsorange.com
City Orange State CA
Zip [92866 Telephone 714-289-3252
ENGINEER'S NAME Last
First �— Lic. No.[ —
Engineer's Address
Engineer's E-mail Address
City State F—
Zip F_ TelephoneF_
CONTRA�TO{j'S NAM�/FOMPANY U�
ContractorsLic. No. Class'
(Ol 1 WWm(Y�(ClF I Ci10(
Addres � Contractor's E-mail Address
10S -7 c� I IQ� I55 Z,US0. 69
I State F
Zip F Telephoned
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO. 3v
GRADING PIC FEE $ PLANNING P/C FEE $
PLAN CHECK NO.
y�
ELECiPLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $