HomeMy WebLinkAboutX2019-1750 - Permit Applicationrnntrorm GV
i worKsneet for combo Building & Solar Permit Application o �_
City of Newport Beach - Building Division
FX Comm'I F. Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
X Building f _ Grading F-IIDrainage Fx-. Elec PK Mech
jX Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F Flood (- Fire F Liq F Landslide FIN/A Floor Suite No
1U0 Irvine Ave Newport Beach CA
Description of Work
Use ; ConstType
- -
Interior Tt to existing CVS store to include Pharmacy expansion, retail reconfiguration, finish
# Stories # Units (if Res)r
upgrades.
1.
New/Add SFF Remodel SF OP00 Garage/New/Add I
Valuation $ FI501000
Material/Labor
OWNER'S NAME Last CVS
First harmacy
Owner's Address
Owner's E-mail Address
1 CV Dr
City oonsocket State Fl
Zip 02895 Telephone 514408429
APPLICANTS NAME Last astro
First ose
Applicant's Address
Applicant's E-mail Address
19100 Von Kamran Ave Suite 600
'ose.castro@wdpartners.com
City Irvine State A
- - -
L g2612 Tele hone 9-413-5382
p[ p
ARCHITECT/DESIGNER'S NAME Last Doerschlag First hristopher Lic. No. 23209
Architect/Designei's Address
Architect/Designer's E-mail Address
19100 Von Karman Ave Suite 600
ecky.foresta@wdpartners.com
rviCAne State
city 111
Zip 2612 Telephone 492239522
- -
ENGINEER'S NAME Last
First , Lic. No.
Engineer's Address
Engineer's E-mail Address
city State
Zip Telephone
CONTRACTOR'S NAME/COMPANY I BD
Lic. No. Class F
Contractor's Address
Contractor's E-mail Address
City State
- _
Zip Telephoned'
SETBACKS REAR SETBACKS FRONT
PERMIT NO. y, Le,-
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ Z 5;_
—T