HomeMy WebLinkAboutXC2024-0008 - Permit ApplicationPrirtForE Worksheet for Combo Building & Solar Permit Application Ezra
City of Newport Beach - Building Division
rx Comml r R�Identlal OF SUBMITTAL
NOTE: PLAN CHECK FEES DUE AT TIME 0
fx—SuIlding r, Grading (—Drainage 19 Elec rx— Mech
FK—,, Plum CU Yd CU cuYdFill OF
Project Address (Not mailing address) r Flood r Fire f— Liq r7i Landslide F—NIA Floor Suite No
F-
,7622 San Miguel Dr. Newport Beach
Description
Description aWork
Use Const Type FV8
StorlesF, # Units (if Res)',
AREAS.
New/Add SFFg-. _— Remodel SFF2,600
Valuation $ 250,000
Garage/New/AddF. Material/Labor
OWNERISNAME Last FIRVINE COMPANY
First
Owner's Address
Owner's E-mail Address
1110 INNOVATION DR,
Fmc)ntoya@lrvineompany.com
City 11IRVINE state CA Zip 92617 Tolephone�49,720.2362
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APPLICANT'SNAME Last ISEFB COMPANY
First
Applicant's Address
Applicants E-mail Address
123541 RIDGE ROUTE, STE C
sami@chaupainbakery.com
City LAGUNA HILLS state CA
Zip 92653 Telephone J213.479.58 79
ARCHITECT/DESIGNER'S NAME Last RENZO J NAKATA ARCH ITEk First Lic, No. IC23025
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
3 BLUEBIRD'
renzo@rjnarchitects.com
City FIRVINE State CA
Zip 92604 Telephone P_
ENGINEER'S NAME Last 1EMPIRE 3 CONS I ULT.ING ENGPJ First F_ Lic. No. FEI 6230
Engineer's Address
Engineer's E-mail Address
17010 ARLINGTON AVE
tomock@empire3.not
City FRIVERSIDE State A
F
Zip Telephone F951,609.1900
CONTRACTOR'S NAME/COMPANY I TBD
Lic, No. F Class
Contractor's Address
F'
Contractors E-mail Address
City Slate F__
Zip F—TelephoneF_
SETBACKS REAR SETBACKS FRONT
. ,r�
PERMIT NO. )Q,,wA— o 006
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USEZONE DEVELOPMENT NO
PLAN CHECK FEES