HomeMy WebLinkAboutX2022-0096 - Permit ApplicationPrint Form NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Uup
Worksheet for Combo Building & Solar Permit Application
Comm'I F— Residential City of Newport Beach - Building Division
(—Building F Grading J—Drainage j—Elec FMech
(— Plum CuYdCut F CuYdFiuF
Project Address (Not mailing address) F_ Flood j— Fire F_ Liq i— Landslide rN/A Floor Suite No
2121 Pacific Coast Highway
I2 230
6u-1.l�vl
Description of Work
Use FB_ Const Type II-1 Hr.
Interior remodel ofSuite 0 New wall neink new finih (Flooring
paint cabinetry), no
# StoriesF2 # Units (if Res)[ —
ceiling work. No change to existing light fixtures or fire sprinkler system.
Valuation $ 50,000.00
Material/Labor
New/Add SF� Remodel SF 1820 Garage/New/Add
OWNER'S NAME Last Plavajka
First Rob
Owners Address
Owner's E-mail Address
1451 Quail Street, Suite 201
rplavajka@mesamanagement.net
City Newport Beach State CA
Zip 92660 Telephone 949-851-0995
APPLICANT'S NAME Last Graham
First Michele
Applicant's Address
Applicant's E-mail Address
2961 W MacArthur Blvd., Suite 120
mgraham@sternarchitects.com
City Santa Ana State CA
Zip 92704 Telephone 714-556-2656
ARCHITECT/DESIGNER'S NAME Last Graham First Michele
�—
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
2961 W MacArthur Blvd., Suite 120
mgraham@sternarchitects.com
City Fanta Ana State CA
Zip 92704 Telephone 714-556-2656
ENGINEER'S NAME Last (r, ,ylyn
First Lic NosvT-6-Q7
Engineer's Address
Engineers E-mail Address
City � State F
Zip Telephonef_
CONTRACTOR'S NAME/COMPANY p``�o Lic No. 1o7oCo7 Class
r
Contractor's Address
Contractors E-mail Address
City Tjp,Ppa 4 i ,,,vim State to
ZiP Q2CC? Telephone 71y.400.371q
SETBACKS REAR SETBACKS FRONT
PERMIT NO. X &5Z Z, —
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. QI L3 — C� C✓�
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $