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HomeMy WebLinkAboutX2011-0473 - Permit ApplicationPrint Form Worksheet for Building Combo Permit Application City of Newport Beach - Building Department Please print 3 copies C"`Building CX Grading J—'Drainage F Elec I" Mech F" Plum 1. Project Address i 350 NCD Tenant Name(if Applicable) 2. Description of Work GGradng for the 20 story office tower address) Extg Building SIF Demo Building SF I _ ___.........,..._ Add/Reconstruct Bldg SF Extg Gar at - Demo Garage sf F Add/Reconstruct Garage sf F m ^Y - —w ...------ .,___.__ TOTAL BLDG SIF New (. Add j"` Alter jDemo - - TOTAL GARAGE SF r 2011— 0 T3 650 Newi)orf(enfey DY Floor Suite No _____..------ # Units (if Residential) �,_ Use 11 (JL: J Valuation $ # Stories Cu Yd Cut 12,947 Cu Yd Fill 1 16520 ---_ [X', 3. Owner's Name Last Carey First Tim Owner's Address _ Owner's E-mail Address =550 Newport Center Drive _______ I �tcarey@Irvinecompany.com City 1NPB State CA Zip [92660 _ Telephone[949-720-2000 1FX. 4. Architect/Designer's Name Last Kelly First ;James Lic. No. ICI 2336 Architect/Designer's Address Architect/Designer's E-mail Address f.._......_.�___. __.........._._.__,._._..... __...._____.._ ....W....____.__. LPA Inc. 5161 California Avenue Suite 100 gbroming@lpainc.com Ex 10.31.11 City Irvine State ca Zip 92617 Telephone 9 9-683 7848JWmv ________,._____ _------- iXI5.Engineer'sName Last McLellean First;Mark Lic.No'RCE51031 Engineer's Address Engineer's E-mail Address ,.... _.......,.. _..__..... ....m_. Stantec 19 Technology Dr., Suite 200 [Pat.osborne@stantec.com City ;Irvine State CA _ Zip 92618 Telephone! 949-923-6275 6. Contractor's Name Last '.. First € Lic. No. Class Contractor's Address Contractor's E-mail Address City ( _. State I. Zip I' _.... Telephone OFFICE USE ONLY ENERGY P/C FEE $ GRADING P/C FEE $ 3 x2(� - (-:�q. Rev4116109 ELEC/MECH/PLUM P/C FEES FIRE P/C FEE $ PERMIT NO. Y 64"t/' 1." OC d 3 PLAN CHECK NO. PLAN CHECK FEE $ „fForm„ ,®se print 3 copies d336 -mil r Worki` ,-et for BuildingCombo Perm!( application City of Newport Beach - Building Department FX_ Building rX Grading F—Drainage F Elec r Mech jX plum 7. Project Address (Not mailing address) o Floor Suite N — 630, 6150, 670, and 690 Newport Cente Drive ( Tenant Name(if Applicable) N/A �r 1�J1 #Units (if Residential) 2. Description of Work Use � q Site wet/dry utilities relocation,titedemo' , precise grading, ” ���� In I,7Y1-,-7 00 Extg Building SF Demo Building SF; Add/Reconstruct Bldg SF Valuation $ mm'. r Extg Gar sf F Demo Garage sf ' Add/Reconstruct Garage sf # Stories TOTAL BLDG SF F Cu Yd Cut 82,460 E FX New Add [X Alter FX Demo TOTAL GARAGE SF ��'. Cu Yd Fill 16,840 Cherk Annrnnrinto Rnr fnr Annlirnnf FX_ 3. Owner's Name Last Ron First Keith Owner's Address 550 Newport Center Drive .. __... - __.. Owner's E-mail Address --------------- ................... rkeith@irvinecompany.com City NPB State CA Zip 92660 Telephone 949-720-2000 I-X 4. Architect/Designer's Name Last Kelly '.. First James Lic. No.3C12336 Architect/Designer's Address Architect/Designer's E-mail Address LPA Inc 5161 California Avenue, Suite 100 gbroming@Ipaine,com Exp 10.31.11 City Irvine State CA Zip 92617 Telephone�949-701-4008 (X'. 5. Engineer's Name Last (""'�""e ( t� First �aE ✓N1�}Q,F� i , - Lic. No. �Gw (,o. Engineer's Address -..— 19 Technology Drive, Suite 200— Engineer's E-mail Address)Sh�j_% [pat. _ osborne@stantec.com City Irvine State CA Zip I92618 Telephone1949-'923-6275 F_ 6. Contractor's Name Last First Lic. No. F_ Class F_ Contractor's Address -Contractor's E-mail Address City ___... -.. _ State �— Zip „....�_.. Telephone OFFICE USE ONLY ENERGY P/C FEE $ PERMIT NO. ` GRADING P/C FEE $ FIRE P/C FEE $ 1D PLAN CHECK NO. Rev4116109 ELEC/MECH/PLUM P/C FEE $ PLAN CHECK FEE $