HomeMy WebLinkAboutX2019-3728 - Permit ApplicationPrint Form j Worket for Combo Building & Solar Permit Application
FX, Comm'I F, Residential �� NOTE:
of Newport Beach -Building Division �2,Wj - -3-7-Lg
: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rX°Building r Grading
[-Drainage FX_ Fx Mech F- Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) f- Flood r; Fire r', Liq r Landslide A Floor suite No
800 Newport Center Drive t o
Description of Work
Use Const Type I A
TENANT IMPROVEMENT TO EXISTING OFFICE SPACE TO PROVIDE COMMERCIAL INTERIOR
orfrf ALTERATIONS. PAT -1 1 OFT
RAVEL EEtfotPL14NEE PE# 1787 2014
# Stories[ # Units (if Res)
RESTROOM COMPLIANCE - PC#
2129-2016/1171-2014
Valuation $
New/Add SF F,
Remodel SF 8952 Garage/New/Add F_Material/Labor
400,000
OWNER'S NAME
Last Irvine Company First
Owner's Address
Owner's E-mail Address
111 Innovation
-_
cmerrill@irvinecompany.com
City Irvine
i State Ca Zip 92617 Telephone
APPLICANT'S NAME
Last Metcalf First Justin i
Applicant's Address
Applicant's E-mail Address
4770 Campus Drive
jmetcalf@hhendy.com
City Newport Beach
State Ca Zip 92660 Telephone 9498513080
ARCHITECT/DESIGNER'S NAME Last Walton First Fenniler Lic. No.C-336627
Architect/Designees Address
Architect/Designer's E-mail Address
4770 Campus Drive
jwalton@hhendy.com
City Newport Beach
State Ca Zip 92660 Telephone 9498513080
ENGINEER'S NAME
Last First Lic. No.F—
Engineer's Address
Engineer's E-mail Address
i
City ( _
..I
State Zip Telephone
CONTRACTOR'S NAME/COMPANY TBD �,Q�� �J C _ Lic. No. Class
Contractor's Address\,`
Contractor's E-mail
_Address
n , 1
`��l�Ti _ �N_-s _ 1 XJYIY�QCU� S _ Q�Li11
City Yar
.C�7
State �— ZipW05N, Telephone �-L1n
j i L"t
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. ' V
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ ll
South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
AIR QUALITY PERMIT CHECKLIST
for non-residential buildings only
Location of Property: 800 Newport Center Drive Zip Code 92660
Company Name: Pacific Life Insurance Co.
Contact Person: Sarah Balfour Title: Sarah Balfour
Telephone Number: 949-219-3011
Fax Number: 949-219-5049
Type of Industry/Business: Office
Any person applying for a non-residential building permit must complete this checklist. If
you have any questions about completing this checklist, please call 1 800 388-2121 for
assistance.
1. Will the .building house a restaurant (with a charbroiler)? YES NO
]
2. Will any internal combustion engines with greater
than 50 Horse Power operate at the facility? [ ]
(excludes motor vehicles)
3. Will operations at the facility involve the mixing, [ ]
blending, or processing of solvents, adhesives, paints or
coatings?
4. Will any dust or smoke be generated at the facility? [ j
5. Will refining of any liquids or solids be done at the facility? [ ]
6. Will any plating or coating of materials be done at the facility? ( j
7. Will any combustion equipment rated greater than
2,000,000 Btu/br be operated at the facility? ( ]
8. Will any acids, solvents, or motor fuel be handled or stored { J
at the facility?
9. Will any organic liquids or gases be reacted or produced? [
10. Will any ovens be used to dry or cure products at the facility?
11. Will any CVC recycling machines operate at the facility? [
Person Preparing this Form
Name: Justin Metcalf
(Print Clearly)
Signature: �uatuv 212eic4
If you have marked "No" in a0 the boxes, an air quality permit is not needed at this time.
This checklist is your written release.
If you marked "Yes" in any of the boxes, you must contact the South Coast Air Quality
Management District (AQMD). Please read the requirements on the back of the checklist.
1800 388-2121
(FAX 1909 396.3335)
revised 8/26/94