HomeMy WebLinkAboutX2018-3673 - Permit Application(Worksheet for Combo Building & Solar Permit Application
Comm'( r Res! enti`al-13 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
eS \
[x Building rGrading F -Drainage F_ Elec F_ Mech
F' Plum Cu rd Cut Cu Yd Fill F
Project Address (Not mailing address) I— Flood F Fire F_ Liq r Landslide f_N/A Floor Suite No
5000 BIRCH ST. NEWPORT BEACH CA
4TH 4400yYe
Description of Work
Use IB Const Type IA
# Stories 10 # Units (if Res)
TENANT IMPROVEMENT WORK ON ±3,314 SQ. FT. OF THE TOTAL FLOOR AREA. NEW WALL,
FINISHES.POWER LIGHTING AND
Valuation $
New/Add SFRemodel SF 3314 Garage/New/Add
[149,130
Material/Labor
OWNER'S NAME Last RODRIGUEZ
First DIONNE MULCAHY
Owner's Address
Owner's E-mail Address
5000 BIRCH ST. SUITE 120
City NEWPORT BEACH State CA
Zip 82660 Telephone949-385-9361
APPLICANT'S NAME Last BUCKLEY
First JILL
Applicant's Address
Applicant's E-mail Address
18201 VON KARMAN AVE
JBUCKLEY@SAAIA.COM
City IRVINE State CA
Zip 92612 Telephone949.608.3726
ARCHITECT/DESIGNER'S NAME Last OI First DICKSON Lic. No. C-32277
Architect/Designees Address
Architect/Designer's E-mail Address
18201 VON KARMAN AVE
DOI@SAAIA.COM
City IRVINE State CA
Zip 92612 Telephone 949.724.8958
ENGINEER'S NAME Last
First I Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City State
Zip Telephone
CONTRACTOR'S NAME/COMPANY
Lic. No.W6 y iS,7/io Class I v
Contractor's Address
Contractor's E-mail Address
3/9�//-�9 to
0ti,, e JGC�ssoc, 601
City COSr`6C Aes- Z State ��
Zip 9��a ( Telephone 9r y -aye- y y1®
SETBACKS REAR SETBACKS FRONT
PERMIT NO. X 2ol 3 • �013
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. %� 5s. q j,Q
USE ZONE DEVELOPMENT NO
_ PLAN CHECKpEES $