HomeMy WebLinkAboutXC2022-1930 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application ?EW�am
x Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FxBuilding F_ Grading
["Drainage Fx_Elec (x Mech F- Plum CuYdCut F CuYdFill F
Project Address (Not mailing address) F Flood F_ Fire F_ Liq r Landslide FN/A Floor Suite No
895 DOVE STREET, NEWPORT BEACH, CA 92660 1,2 100,200
Description of Work
Use _ Const Type II -A
INTERIOR TENANT IMPROVEMENT INCLUDING DEMOLITION, CONSTRUCT NEW
PARTITION, CEILING����INIS�`� :
# Stories #Units (if Res)
t�CC
Valuation $ Fig0000.00
Material/Labor
New/Add SFF—
Remodel SF 85700 Garage/New/Add �—
OWNER'S NAME
Last I DOBENS First FKELLY
Owner's Address
Owner's E-mail Address
4000 W METROPOLITAN
DRIVE, SUITE 190
City ORANGE
State CA Zip 92868 Telephone 714-939-2025
APPLICANT'S NAME
Last WILSON First MICHAEL
Applicant's Address
Applicant's E-mail Address
17877 VON KARMAN AVENUE, SUITE 200 M.WILSON@INTERIORARCHITECTS.COM
City IRVINE
State CA Zip 92614 Telephone 949.798.7321
ARCHITECT/DESIGNER'S NAME Last KEMP First JAMES Lic. No. 37679
Architect/Designer's Address
Architect/Designees E-mail Address
17877 VON KARMAN AVENUE, SUITE 200 J.KEMP@INTERIORARCHITECTS.COM
City IRVINE
State CA Zip 92614 Telephone 949-798-7300
ENGINEER'S NAME
Last PDA Engineers First �— Lic. No. E14780
Engineers Address
Engineer's E-mail Address
16501 Scientific Way, Suite
200 ben@pda-eng.com
City Irvine
State CA Zip 92618 Telephone 949-852-1491
CONTRACTOR'S NAME/COMPANY %0„ A� Lic No. FW Class "'llV��
Contractor's Address
Contractors E-mail Address
0_7 WItISh 1 '
City `„Vt J
1V a�w utild�>tiy� .
State
A /�p�Y�
Zip ���I Telephone Z(3_�)53
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. '?cZ0M_ 2iij-1
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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