HomeMy WebLinkAboutXC2022-2096 - Permit Applicationz �
Pr nt Form Worksheet for Combo Building & Solar Permit Applic tion
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Comm'I F Residential City of Newport Beach - Building Division JP
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX-Building r Grading rDrainage Iy Elec Mech
r Plum Cu rda,tF Cu Yd Fill
Project Address (Not mailing address) r Flood
F_ Fire r Liq F_ Landslide FN/A Floor uite N i
4340 Von Karman, Suite 206 & 207, Newport Beach, CA 92660 end Zoe & 20
Description of Work
Use busirl Const Type improvol
# Stories #Units (if Res)
u
Aading a con erence room and one U1 I lce
$
�
New/Add SFFO— Remodel SF�— Garage/New/Add IV
Valuation
F75,000.00
Material/Labor
OWNER'S NAME Last Garcia
First Donald
Owner's Address
Owner's E-mail Address
40 Salt Bush
wendyclarkgarcia@cox.net
City Irvine State CA
Zip 92603 Telephone 714-392-5060
APPLICANTS NAME Last Garcia
First'
Applicant's Address
Applicant's E-mail Address
40 Salt Bush
wendyclarkgarcia@cox.net
City Irvine State CA
Zip 92603 Telephone 714-392-5060
ARCHITECT/DESIGNER'S NAME Last Lo
First Yu-Ngok Lic. No. C31804
Architect/Designer's Address
Architect/Designers E-mail Address
10736 Jefferson Blvd., #722
ylo@ynlarchitects.com
City Culver City State CA
Zip 90230 Telephone 310-980-8981
ENGINEER'S NAME Last Zhou
First Gangyi Lic. No. M34279, E189b
Engineer's Address
Engineer's E-mail Address
26439 Rancho Parkway, South, Suite 120
iustink@gmepe.com
City Lake Forest State CA
Zip 92630 Telephone[949-267-9095
CONTRACTOR'S unknown at this time
Lic. No.—W-3classF
--NAME/COMPANY
�r� I ��
Contractor's Address
Contractors E-mail Address
City JU PWPOr i ZF)State �—
Zip �U/ Telephoner] 14.Z7C). I G Lo8
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
pp ,,mot
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ ti
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