HomeMy WebLinkAboutX2021-1046 - Permit Application5()2o c'�MPUS C>Q YZ,()M-k
Print Form; Worksheet for Combo Building & Solar Permit Application
v
Comm'I r, Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
0 Ll (0
�EWPpRJ
OE B
Gt�oxY��
NBuilding r- Grading rDrainage Elec echPlum cued Cut 177
III Cu Yd Fill 177
Project Address (Not mailing address) r Flood I " Fire j—Liq r`,' Landslide hN/A Floor Suite No
5020 Campus Drive, Suite 250, Newport Beach, CA 92660
Description of Work L IC
se Const Type Milo
New 2,518 USF office tenant improvement. New partitions, doolg, ceilin and finishes.
plumbing and electrical.
# Storis 1 # Units (if Res)
New/Add SF� Remodel SF 2518 Garage/New/Add �j
Valuation $ $150,000
Material/Labor
OWNER'S NAME Last Alaghband FirstFred
Owner's Address Owner's E-mail Address
4701 Von Kerman Ave., Suite 100 falaghband@acsirvine.com
...........
City Newport Beach State CA Zip 92660 Telephone 949-335-9730
APPLICANT'S NAME Last ITZEN First Jana
Applicant's Address Applicant's E-mail Address _
1800 N Bristol Street, C-418 Jana@itzen.com
City Santa Ana State CA Zip 92706 Telephone 714-716 5042
ARCHITECT/DESIGNER'S NAME Last ITZEN First William Lic. No. C31793
Architect/Designer's Address Architect/Designer's E-mail Address
1800 N Bristol Street, C-418 wbi@itzen.com
City Santa Ana State CA Zip 92706 Telephone 714-716 5042
s3�Hbfalr.4 FN('INFFRC�T1fB. nii tic Na '{3F2,'.�.
ENGINEER'SNAME LaCo
Engineer's Address PIC. S� meer's E-mail Address
-4(��e6run@goss-eng.com 1 4(��eirun@goss-eng.com l
l
City na State CA Zi Telephone 95-9-9e9-4?97
�}
CONTRACTOR'S NAME/COMPANY Allan -Column 4 Construction Lic. No. 9 q 70Class
Contractor's Address Contractor's E-mail Address
4701 Von Karman Ave., Suite 100 elan@column4construction.com
_ ..
City Newport Beach State CA Zip 92660 Telephone 949 337 0884
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $