HomeMy WebLinkAboutX2022-0907 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
ix Comm1 j— Residential City of Newport Beach - Building Division may,
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Ix Building r Grading
[7Drainage [Elec (X Mech
FT Plum Cuvdcuts cuvdFill s
Project Address (Not mailing add s -- d r Fire Liq Landslide [N/A Floor Suite No
5020 Campus Or.
I
I
F1 200
Description of Work
Use F Const Type VB Spr%j
# Stories #Units (if Res)s
Multi -Speciality 3 251 SF medical clinic tenant improvement within
and existing warm shell
building
_ _
New/Add SF F
Remodel SF F Garage/New/Add l
valuation 5
Material/Labor $396,000.00
OWNER'S NAME
Last Alaghband
First Fred
Owner's Address
Owner's E-mail Address
Newport Campus LLC 5020 Campus Dr. Suite 250
falaghband@acsirvine.com
City Newport Beach
State CA
Zip 92660 Telephone 949.263.1920
APPLICANT'S NAME
Last Schafer
First Michael
Applicant's Address
Applicant's E-mail Address
23192 Alcalde Dr. Suite G
mschafer@msa-corp.net
City Laguna Hills
State CA
Zip 92653 Telephone 949 584.5426
ARCHITECT/DESIGNER'S NAME Last Schafer First Michael I
Lic No. C-13366
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
23192 Alcalde Dr. Suite G
mschafer@msa-corp.net
Ci La una Hills
b 9 -_
State CA
Zi p 92653 Telephone 949.584 5426
ENGINEER'S NAME
Last
First Lic. No.
Engineer's Address
Engineers E-mail Address
City
State r
Zip Telephones
CONTRACTOR'S NAME/COMPANY Column4Construction
Lic. No. 992770 Class
Contractor's Address
Contractors E-mail Address
5020 Campus Dr. Suite 250
alan@column4construction.com
City Newport Beach
State CA
Zip 92660 Telephone 949.337.0884
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. X C. Z—Gci0 /
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. U 3'J-q Z07-Z
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $ U Z L 7,3