HomeMy WebLinkAboutX2021-0550 - Permit ApplicationPrint Form„ Worksheet for Combo Building & Solar Permit Applicationo�EW q,e
x Comm'I F_ Residential City of Newport Beach - Building Division xZo21 ^ 058 IO �
-- NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r,Building Grading F–Drainage r',Elec F,Mech ,Plum. Cu YdCut F CuvdFill
Project Address (Not mailing address) C Flood F_. Fire F_ Liq r Landslide rN/A Floor Suite No
895 DOVE STREET, NEWPORT BEACH, CA 92660 1 100 -
Description of Work" OC> 1 f?
Use Const Type 1B
# StoriesF5 # Units (if Res)
INTERIOR IMPROVEMENTS: NEW WALLS, CEILINGS, LIGHTING, DOORS &
FINISHES. STRUCTURAL SCOPE: NEW OPERABLE SLIDING DOOR SYSTEM AT i
INTERIOR, ELECTRICAL, MECHANICAL & PLUMBING.
Valuation $ 180,000.00
Material/Labor,
LLL
New/Add SF 7— Remodel SF 5,534 Garage/New/Add
OWNER'S NAME Last DOBENS First KELLY
Owner's Address Owner's E-mail Address
4000 W. METROPOLITAN DR., SUITE 190 KELLY.DOBENS@AM.JLL.COM
City ORANGE State CA Zip 92868 Telephone714 939-2025
APPLICANT'S NAME Last WILSON First MICHAEL
Applicant's Address Applicant's E-mail Address
17877 VON KARMAN AVENUE, SUITE 200 M. WILSON@INTERIORARCHITECTS.COM
City IRVINE State CA Zip 92614 Telephone 949.798 7321
ARCHITECT/DESIGNER'S NAME Last KELLY First LISA Lic. No. 32528
Architect/Designer's Address Architect/Designer's E-mail Address
17877 VON KARMAN AVENUE, SUITE 200 1.L.KELLY@INTERIORARCHITECTS.COM
City IRVINE State CAZip 92614 Telephone 949-798-7300
ENGINEER'S NAME Last DIRPES First CORNELIA Lic. No.F—
Engineer's Address Engineer's E-mail Address
16501 SCIENTIFIC WAY, SUITE 200 CORNELIA@PDA-ENG.COM
City IRVINE State CA Zip 92618 Telephone 949-852-1491
CONTRACTOR'S NAME/COMPANY Lic No. l las
Contractor's Address Contractor's E-mail Address
-- SVo�I 'ez � Cal i�rcon
City _ State 1 040V— Zip t�2,t Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. D
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $