HomeMy WebLinkAboutX2021-2923 - Permit Application_print Form_ Worksheet for Combo Building & Solar Permit Application
Fx- Comm'I r Residential City of Newport Beach - Building Division EXPEDITE IF oc
NOTE: PLAN CHECK FFFF nI IF AT TIMG nc ci ICAAITTAI 13nQQ IQ C
(x Building F_ Grading F-Drainage �i Elec F_ Mech I v uY y
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Project Address (Not mailing address) F_ Flood r Fire I— Liq r Landslide (x N/A Floor Suite No
5000 Birch Street - exterior n/a n/a
Description of Work
Use FB — ConstType 1A
# Stories 10 # Units (if Res)F—
STRUCTURE, NEW FURNITURE, NEW LIGHTING AND FINISHES.
Valuation $ 100,000
Material/Labor
New/Add SF�— Remodel SF 2100 Garage/New/Add �—
OWNER'S NAME Last RODRIGUEZ First DIONNEMULCAHY
Owner's Address
Owner's E-mail Address
5000 BIRCH ST. STE 120 DIONNE_MULCAHY-RODRIGUEZ@JHANCOCK.COM
City NEWPORT BEACH State CA Zip 92660 Telephone 949-385-9361
APPLICANT'S NAME Last HACKEY First ZACHARY
Applicant's Address Applicant's E-mail Address
18600 MACARTHURT BLVD STE 100 ZHACKERYI@SAAIA.COM
City IRVINE State CA Zip 92612 Telephone 3107438957
ARCHITECT/DESIGNER'S NAME Last ALGAZE First FNELSON Lic. No. C-21090
Architect/Designer's Address Architect/Designer's E-mail Address
18600 MACARTHURT BLVD STE 100 NALGAZEI@SAAIA.COM
City IRVINE State CA Zip 92612 Telephone 310.629.8113
ENGINEER'S NAME Last F� First F— Lic. No.F
Engineer's Address Engineer's E-mail Address
city State F_ Zip F— Telephoned
CONTRACTOR'S NAME/COMPANY Lic No. Class
[Contractors —E-mail
Contractor's Address
Address
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City 6r (> %1� State Zip !w Telephone 7iU
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SETBACKS REAR SETBACKS FRONT PERMIT NO. W 2
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.I)itfl-
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $