HomeMy WebLinkAboutX2021-2408 - Permit Application (3)Print Form' ,: Worksheet for Combo Building & Solar Permit Application
� Comm'I F_ F esideritial City of Newport Beach - Building Division `x�(,D2�� 241 a®
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL "l
,Building r Grading rDrainage Fx Elec FX_Mech 'Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire r— Liq r Landslide Fx_'N/A Floor Suite No
4340 VON KARMAN ST.v SUITE 707 101
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Description of Work O U �ZW({I a� A
�FIRST
FB_
Use Const Type FIB_
IMPROVEMENTDEMISE OF AN EXIS FING, QCCUHILU OFFICE 61.111 E. bUI I L AHLA NO I IN SCOPE
TO REMAIN SUITE #110. SUITE 101 TENANT L
# Stories # Units (if Res)'
NEW PARTITIONS, ELECTRICAL, CEILINGS, LIGHTING, MILLWORK, BREAK ROOM
PLUMBING FIXTURES, FINISHES & MODIFICATIONS TO HVAC DISTRIBUTION.
New/Add SF�— Remodel SF 3,003 Garage/New/Add
Valuation $ F$340,000
Material/Labor
OWNER'S NAME Last RODRIQUEZ First JESSE
Owner's Address Owner's E-mail Address
4340 VON KARMAN STREET, SUITE 101 JMOROD@GMAIL.COM
City NEWPORT BEACH State CA Zip 92660 Telephone
APPLICANT'S NAME Last SMARKER First JESSICA
Applicant's Address Applicant's E-mail Address
4770 CAMPUS DRIVE, SUITE 100 JSMARKER@HENDY.COM
City NEWPORT BEACH State CA Zip 92660 Telephone 949-851-3080
ARCHITECT/DESIGNER'S NAME Last DWYER First SUSAN Lic. No. C-33724
Architect/Designer's Address Architect/Designees E-mail Address
4770 CAMPUS DRIVE, SUITE 100 SDWYER@HHENDY.COM
City NEWPORT BEACH State CA Zip 92660 Telephone 949-851-3080
ENGINEER'S NAME Last ATIENZA First RAUL Lic. No. p q
Engineer's Address Engineer's E-mail Address
16501 SCIENTIFIC WAY, SUITE 200 RAUL@PDA-ENG.COM
City IRVINE State CA Zip 92618 Telephone (949) 852-1491
CONTRACTOR'S NAME/COMPANY CHRisd Lic. No.3' Class A
Contractor's Address t �
e' "tor's I Ad
qn -ma re (•IM
22 C E
it
CipyiRVINHE State CA Zip—[9i,64 Telephone"F'(9�9)'350"SZ05
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SETBACKS REAR SETBACKS FRONT PERMIT NO. b V�_ V D "d
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.1/0 jmj
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ �� /�