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HomeMy WebLinkAboutX2019-0995 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o WPo,e r Comm'I F- Residential City of Newport Beach - Building Division 068511oI9 0 �« NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r- Grading F -Drainage r',Elec rMech r, Plum cu ydcut F Cu Yd Fill Project Address (Not mailing address) F Flood r Fire r Liq F- Landslide r_N/A Floor Suite No 3507 Jamboree Road 15 540 Description of Work se B Const Type`1 LIMITED TENANT IMPROVEMENT WORK ON A PORTION OF ±7,900 SQ. FT. OF THE TOTAL 6 #Units if Res) FLOOR AREA. NEW WALL, POWER, LIGHTING AND FINISHES. New/Add SF� Remodel SF 7900 Garage/New/Add F Valuation $ [91,845 Material/Labor OWNER'S NAME Last BONITA First NICOLE Owner's Address Owner's E-mail Address 3501 JAMBOREE ROAD STE 430 nicole.bonita@cbre.com City NEWPORT BEACH State CA Zip 92660 Telephone 949-823-9330 APPLICANT'S NAME Last BUCKLEY First JILL Applicant's Address Applicant's E-mail Address 18600 MACARTHUR BLVD. STE 100 JBUCKLEY@SAAIA.COM City IRVINE State CA Zip 92612 Telephone 949-608-3726 ARCHITECT/DESIGNER'S NAME Last OI First DICKSON Lic. No. C-32277 Architect/Designees Address Architect/Designer's E-mail Address 18600 MACARTHUR BLVD. STE 100 DOI@SAAIA.COM City IRVINE State CA Zip 92612 Telephone 949-608-3712 ENGINEER'S NAME Last �— First r Lic. No.�' Engineer's Address Engineer's E-mail Address City State F_ Zip F_ Telephoner— CONTRACTOR'S NAME/COMPANY Lic. No. a+(;�.� Class Contractor's Address Contractor's E-mail Address ZC7a(Vr C..,rdUC, City i 7[ ) c�C V2 C7 o State FL j ZiplI Z U q' Telephoney K ^ 6 v2 • Zq / SETBACKS REAR s+ SETBACKS FRONT PERMIT NO.� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. �7lo$G✓fj,01�1 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $