HomeMy WebLinkAboutX2011-0470 - Permit ApplicationPrhtForm Worksheet for Building Combo Permit Application
City of Newport Beach - Building Department
Please print 3 copies
fX Building F— Grading f-'Drainage CX Elec (XMech 15Z Plum
Kpl +10
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1. Project Address (Not mailing address) Floor Suite No
630 Newport Center Drive I
Tenant Name(if Applicable) N/A # Units (if Residential)
2. Description of Work Use I
Remove and restore a portion of exist, parking structureµ
�'—'""""""""""""""""' Valuation$ i2,128,264.00
Extg Building SF�mm', Demo Building SF —. Add/Reconstruct Bldg SF ( .....
Extg j
Gar sf '. Demo Garage sf Add/Reconstruct Garage sf F # Stories I
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F_ New jX. Add �' Alter jX TOTAL BLDG SF Cu Yd Cut t
Demo
TOTAL GARAGE SF F Cu Yd FIII
IX' 3. Owner's Name Last FRon First [Keith
Owner's Address Owner's E-mail Address
Newport Center Drive
rkeith@irvinecompany.com
'Aty JNPB _ _ _. State CA •_ ZipC92660 Telephone)949-720-2000
FX: 4. Architect/Designer's Name Last JKelly _ First James Lic. No. ICI 336
Architect/Designer'sAddress Architect/Designer's E-mail Address
ILPA, Inc 5161 California Avenue, Suite 100
I _ �gbroming@Ipainc.com Exp 10.31.11 '
City Irvine State CA Zip 92617 Telephone 949-701-4008
IX' 5. Engineer's Name Last Schindler First Barry Lic. No.12469
Engineer's Address Engineer's E-mail Address
650 S Grand Avenue 4th Floor
f5i42XY&?bl /NA7fi"®Zii4'U. CCIh Exp. 3/11
City (LA State CA Zip 90015 Telephone,213-483-6490
— 6. Contractor's Name Last�5 �°�t First Lic. No. S ��bb Class
Contractor's Address Contractor's E-mail Address
City :1a`'f9 Yt"lfi-�Y'c State ^..- Zip diZb"i.- Telephonel..Il'(•��j,...Sy���
OFFICE USE ONLY ENERGY P/C FEE $
GRADING P/C FEE $ FIRE P/C FEE $ Zj ,
'16109 ELEC/MECH/PLUM P/C FEE $ 3 Z) , 1 c L3� , cq
PERMIT NO,
PLAN CHECK NO.
L2J v '
PLAN CHECK FEE $
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