HomeMy WebLinkAboutX2019-2769 - Permit Application. Print Form Worksheet for Combo Building & Solar Permit Application
FX",, Comm'I r Residential City of Newport Beach - Building Division �-u 2,1 t0 c(
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX -Building [ Grading F -Drainage rElec
Project Address (Not mailing addree
700 Newport Center Drive
FX_ F- Plum Cu Yd cut Cu Yd Fill
I F- Flood j Fire F-, Liq ri Landslide rIN/AFFlo�o�r�� Suite No
Description of Work Use B Const Type I -A
Tenant Improvement to existing office space to change two existing offices into three
# Stories # Units (if Res)
New/Add SFF— Remodel SF 376 Gara a/New/Add �i valuation a O�
9 Material/Labor- p
OWNER'S NAME Last Ishaq First (Amer
Owner's Address Owner's E-mail Address
700 Newport Center Drive
i lAmer. lshaq@PacificLife.com
City Newport Beach State CA Zip 92660 Telephone 949-219-3674
APPLICANT'S NAME Last Bethel First Megan
Applicant's Address Applicant's E-mail Address
4770 Campus Dr., Suite 100 mbethel@hhendy.com
City Newport Beach State CA Zip 92660 Telephone 949-851-3080
ARCHITECT/DESIGNER'S NAME Last Walton First Fiennifer
Lic. No. Fc --33627
ArchitectlDesigner's Address Architect/Designer's E-mail Address
4770 Campus Dr, Suite 100 Jwalton@hhendy.com
City Newport Beach State CA i Zip 92660 Telephone949-851-3080
ENGINEER'S NAME Last First Lic. No.�
Engineer's Address Engineer's E-mail Address
City �— --- State F— Zip Telephoned
CONTRACTOR'S NAME/COMPANYLic. No. �3t cl t��i Class f>Z j
Contractor's Address Contractor's E-mail Address
-� 3ss 2 o tic �1c \yea t l c (l att got lP toy ke�
City�C)Y-Y—< ^ I State I Z,p `(C)5dS I Telephone G'(t-( _556
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1M.0.1
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $