HomeMy WebLinkAboutX2022-0516 - Permit Applicationx�22 _`�1(9
Print Form Worksheet for Combo Building & Solar Permit Application
fX Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
IX Building F Grading F-Drainage rX Elec [X Mech
(X Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) I— Flood r Fire r- Liq r" Landslide F_N/A Floor Suite No
4000 MacArthur Blvd.
Description of Work
Use Const Type I -A
# Stories[, 0 #Units (if Res)
THE SCOPE OF THIS PROJECT IS A TENANT IMPROVEMENT IN AN EXISTING BUILDING, TO
NEW ELECTRICAL, AND TELEDATA OUTLETS.
a �
Valuation $ $230,000
�
New/Add SF�- Remodel SF �� 2 Z Garage/New/Add
Material/Labor
OWNER'S NAME Last Alexander
First Carla
Owner's Address
Owner's E-mail Address
4000 MacArthur Blvd., Ste. 280
carla.alexander@hines.com
City Newport Beach State CA
Zip 92660 Telephone 619 665-5383
APPLICANT'S NAME Last Weise
First Tina
Applicant's Address
Applicant's E-mail Address
12 Mauchly, Suite E
plancheck@cdldesigngroup.com
City Irvine State CA
Zip 92618 Telephone 949 679-6456
ARCHITECT/DESIGNER'S NAME Last Doyle 'First Carolyn Lic. No. 2961
Architect/Designer's Address
Arch itect/Designer's E-mail Address
12 Mauchly, Suite E
Carolyn@cdldesigngroup.com
City Irvine State CA
Zip 92618 Telephone 949 679-6456
ENGINEER'S NAME Last Wong
First Simon Lic. No. M-20841 /E-1
Engineer's Address
Engineer's E-mail Address
3451 Sepulveda Blvd, Suite 360
sswong@earthlink.net
City Los Angeles State CA
Zip 90034 Telephone 310 313-0030
CONTRACTOR'S NAME/COMPANY
Lic. No. t;GC(3 2 Class I �}
(Contractor's Address �—
Contractor's E-mail Address
I
City � State [_
Zip Telephone��
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ���2 ^ 0
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 2-
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $