HomeMy WebLinkAboutXC2024-0241 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
❑X Comm'I ❑ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) U Flood [ j Fire [] Liq CI Landslide L
5000 Birch Street, Newport Beach, CA 92660
Description of Work
Business office tenant Improvement for (2) new private offices, expansion of an existing kitchen
and seating area and converson of a closed office to an open area work space.
N/A Floor Suite No
6th 00
Use F7 Const Type
# Stories❑ # Units (if Res)❑
Valuation $
New/Add SF� Remodel SF 775 SF Garage/New/Add � Material/Labor $�
OWNER'S NAME Last Pohn Hancock Life Insurance Com First /o Avison Young
Owner's Address Owner's E-mail Address
5000 Birch Street, Suite 120 enise.gillett@avisonyoung.com
City Newport Beach State CA Zip 2660 Telephone 949.385.9362
APPLICANT'S NAME Last Guizar First Izabrina
Applicant's Address Applicant's E-mail Address
5000 Birch Street, Suite 600 guizar@picernegroup.com
City Newport Beach State CA Zip 92660 Telephone 949.593.9110
ARCHITECT/DESIGNER'S NAME Last Lee First Daniel
Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
CA Architects - 18821 Bardeen Avenue lee@tca-arch.com
City Irvine State CA Zip 92612 Telephone 49.862.0270
ENGINEER'S NAME Last Becerra First ictor Lic. No.s_7
Engineer's Address Engineer's E-mail Address
Salas O'Brien - 8825 Research Drive ictor.becerra@salasobrien.com
City Irvine State CA Zip 2618 Telephone 949.7 33.1553
CONTRACTOR'S NAME/COMPANY
Contractor's Address
1121 East Elm Avenue
RBCI, Inc. Lic No. 67627 Class
City Fullerton _ State CA
SETBACKS REAR
SETBACKS FRONT
Contractor's E-mail Address
'essica@rbci.inc
Zip 2831 Telephone 714.758.8804
PERMIT NO. J�li Lv�O�v 1
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $