HomeMy WebLinkAboutX2019-0495 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
(q 0 �f�5 City of Newport Beach - Building Division 9
z; Comm'I Rex�0 sidential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jTBuilding F_Grading [-Drainage F_Elec F_jMech F -Plum Cu Yd Cut cuvdFill
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Project Address (Not mailing address) C Flood r Fire F-, Liq F_ Landslide [N/A Floor Suite No
5000 BIRCH STREEET
I' l000
Description of Work (/ 77-
Use IB Const Type to"
WHITE BOX: DEMOLITION OF INTERIOR PARTITIONS, POWER.CE�y
FINISHES AND LIGHTING
#Stories 10 #Units (i e I
- -__-.
Valuation $
Material/Labe
EXISTING FIRE LIFE SAFETYTO REMAIN IN TACT
New/Add SFF I Remodel SF12,488 Garage/New/Add r
OWNER'S NAME Last MULCAHY-RODRIGUEZ
First DIONNE
Owner's Address
Owner's E-mail Address
5000 BIRCH STREET, SUITE 120
Dionne_ Mulcahy-Rodriguez@jha6cock.com
City NEWPORT BEACH State CA
Zip 92660 Telephone 9493859361
APPLICANT'S NAME Last QUEVEDO
First MARK
Applicant's Address
Applicant's E-mail Address
17877 VON KARMAN AVE SUITE 200
M.QUEVEDO@INTEIORARCHITECTS.COM
City IRVINE State CA
Zip 92614 Telephone9493008131
ARCHITECT/DESIGNER'S NAME Last KELLY First LISA
- - Lic. No. 32528
Architect/Designer's Address
Architect/Designer's E-mail Address
17877 VON KARMAN AVE SUITE 11 200
L.KELLY@INTERIORARCHITECTS.COM
City IRVINE State CA
Zip 92612 Telephone 19497987310
ENGINEER'S NAME Last N/A
First F Lic. No.�
Engineer's Address
Engineer's E-mail Address
City State F
Zip F Telephoned
CONTRACTOR'S NAME/COMPANY TBDL �SfvC Lic. No. /a ySSi %(p Class
Contractor's Address
Contractor's E-mail Address
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City CUSJL�"<<'fct - - State (
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Zip%Z�vr - Telephone %/y
SETBACKS REAR SETBACKS FRONT
PERMIT NO. A60 / `T et -,13
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK N6. (p3'L(o
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $