HomeMy WebLinkAboutXC2023-0126 - Permit Application (3)Print Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I r Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_Grading rDrainage fX_Elec fX—Mech jXPlum CuydCutCuYdFill F_
Project Address (Not mailing
address) F_ Flood r Fire r Liq r Landslide r_N/A Floor Suite No
500 Newport Center Dr.
th 400
Description of Work
Use B-office ConstType I -A
Non-structural interior TI
office with a tenant use single accommodation all -gender restroom.
# Storiesl9 # Units (if Res)
(Tenant - Bank of America)
Valuation $ F97,515.00
Material/Labor
New/Add SFF Remodel SF 2, 667 sf Garage/New/Add �—
OWNER'S NAME Last IThe
Irvine Company First
Owner's Address
Owner's E-mail Address
111 Innovation Dr.
City Irvine
State CA Zip g2617 Telephone 949.720.2745
APPLICANT'S NAME Last
am First Pudy
Applicant's Address
Applicant's E-mail Address
392 N. Le May Court
meiyeeyam@sbcglobal.net
City Irvine
State CA Zip 92867 Telephone 626.675.9882
ARCHITECT/DESIGNER'S NAME
Last Rivas First Sergio Lic. No. C-33933
Architect/Designer's Address
Architect/Designer's E-mail Address
675 MacArthur Court. Ste 100
City Newport Beach
State CA 266 Zip 90 Telephone 949.863.9434
ENGINEER'S NAME Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City I
State I— Zip F Telephoned
CONTRACTOR'S NAME/COMPANY
ITo be determined Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City
State Zip F Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. -Z4)113 —
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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