HomeMy WebLinkAboutX2019-0347 - Permit Application(� W kSheet for Combo Building & Solar Permit Application
�-1 City of Newport Beach - Building Division
rx Comm'I F_ Residential dential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
�HEWPpRT
FX Building r Grading F -Drainage F) -t Elec rx. Mech r Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) r Flood F_ Fire F_ Liq F_ Landslide FN/A Floor_ Suite No
5000 BIRCH ST. NEWPORT BEACH CA
4TH 4800
Description of Work 5
(/
Use F—Const Type IA, SPR
TENANT IMPROVEMENT WORK ON ±3,057 SQ. FT. OF THE TOTAL
NEW WALL, PLUMBING, POWER, LIGHTING, MILLWORK
FINISHES.FLOORAREA.
AND
# Stories 10 # Units (if Res)F—
Valuation $ 137,565
Material/Labor
New/Add SFF— Remodel SF 3057
Garage/New/Add F
OWNER'S NAME Last RODRIGUEZ
First DIONNE MULCAHY
Owner's Address
Owners E-mail Address
5000 BIRCH ST. SUITE 120
City NEWPORT BEACH State CA Zip 92660 Telephone 949-385-9361
APPLICANT'S NAME Last BUCKLEY
First JILL
Applicant's Address
Applicant's E-mail Address
18201 VON KARMAN AVE
JBUCKLEY@SAAIA.COM
City IRVINE State CA
Zip 82612 Telephone 949.608.3726
ARCHITECT/DESIGNER'S NAME Last ALGAZE First ANNE �—
Lic. No. C-35472
Architect/Designer's Address
Architect/Designer's E-mail Address
18201 VON KARMAN AVE
AALGAZE@SAAIA.COM
City IRVINE State CA
Zip 92612 Telephone 949.608.3738
ENGINEER'S NAME Last
First �� Lic. NoF—
Engineer's Address
Engineer's E-mail Address
City State F
Zip F— Telephone
CONTRACTOR'S NAME/COMPANY ) \ . �w5 Lic. No. °7/�5�2 5 3 Class Pod
/. cs/ �i� e-6 wee %
Contractor's Address
Contractor's E-mail Address
11171 T%✓d
CityWOAAew ,/ State CW-
Zip %�� Telephone 9 �r 77S 3
SETBACKS REAR SETBACKS FRONT
PERMIT NO. x Z_0 [41\
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. Q Z / ®
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ 1 . ��