HomeMy WebLinkAboutXC2024-0009 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
R Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
ON
DZBuilding r Grading r-Drainage
0? Elec GZ Mech hZ Plum Cu vd CutF Cu Yd Fill F
Project Address (Not mailing
address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
301 Birch Street
I' 100
Description of Work
Use IB Const Type B
Interior
office tenant improvement Physical
Therapy
# Stories # Units (if Res)[—
Valuation $ $320,000.00
Material/Labor
r
New/Add SF1 Remodel SF 5451 Garage/New/Add I
OWNER'S NAME Last Barratt
First Brad
Owner's Address
Owner's E-mail Address
Wrigley
City Irvine
State CA Zip F—Telephone 49 305-3493
APPLICANT'S NAME Last Martin
First Richard SLR t'� I-ImzrilJ
Applicant's Address
Applicant's E-mail Address�"� t
17 Singletree Drive
Beck-matin@sbcglobal.net
City Newport Beach
State FA Zip 92660 Telephone 14 606-8807
ARCHITECT/DESIGNER'S NAME Last
Martin First Richard Lic. No. 14204
Architect/Designer's Address
Architect/Designees E-mail Address
17 Singletree Drive
Beck-martin@sbcglobal.net
CityNewport Beach
State CA Zip 92660 Telephone 714 606-8807
ENGINEER'S NAME Last
First F_ Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City
State �— Zip F Telephone�—
CONTRACTOR'S NAME/COMPANY f�/t
Lic No.�� 7Elass
� i
(.� /����..///Contractor's�E-maiail
Contractor's Address
Address
fit,, ���
�� g /-_,
TR
City C„/��S
State � Zip r , C Telephone (Pt
SETBACKSREARSETBACKS FRONT PERMIT NO. )((,jD2 y- Q00
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $