HomeMy WebLinkAboutXC2023-0379 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application bus- m
City of Newport Beach - Building Division
i� Comm'1 r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUB "a„..
RBuilding F- Grading
r-Drainage (ZElec DZMech
IZPlum CuYdCut FWT CuYdFill
Project Address (Not mailing address) F_ Flood F_ Fire F- Liq F- Landslide I -N/A Floor Suite No
321 BIRCH STREET
I' 140
Description of Work
Use lV Const TypeI' -
INTERIOR OFFICE REMODEL- MEDICAL
OFFICE TENANT IMPROVEMENT
# Stories[ # Units (if Res)F
Valuation $
Material/LaborF$31000.00
New/Add SFr_ Remodel SF 2453 Garage/New/Add
OWNER'S NAME
Last 1ARRETT
First BRAD
Owner's Address
Owner's E-mail Address
WRIGLEY
CH ERNANDEZ@BARRCOMM. NET
City IRVINE
State CA
Zip 92618 Telephone949305-3493
APPLICANT'S NAME
i ast MARTIN
First RICHARD
Applicant's Address
Applicant's E-mail Address
17 SINGLETREE DRIVE
BECK-MARTIN@SBCGLOBAL.NET
City NEWPORT BEACH
State CA
Zip 92660 Telephone 14606-8807
ARCHITECT/DESIGNER'S NAME Last MARTIN
First RICHARD Lic. No. F14204
Architect/Designer's Address
Arch itect/Designer's E-mail Address
17 SINGLETREE DRIVE
BECK-MARTIN@SBCGLOBAL.NET
City NEWPORT BEACH
State CA
Zip 92660 Telephone 714 606-8807
ENGINEER'S NAME
Last
First(---
Lic. No.F
Engineer's Address
Engineer's E-mail Address
City F_
State F
Zip �— TelephoneF�
CONTRACTOR'S NAME/COMPANY
Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City
State F--ZIP
TelephoneF
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. Jtt zo?.3W
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. 2 •2 29
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $