HomeMy WebLinkAboutX2019-1097 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application F��"�°°�
Comm'I Residential City of Newport Beach - Building Division ®]� �g f Uo<'a>„”
NOTE: PLAN," k7fK FEES DUE AT TIME OF SUBMITTAL X�Otq-IOq 1
rBuilding FGrading rDrainage r', Elec rMech
rPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F Flood
F- Fire F- Liq F- Landslide F -'N/A Floor Suite No
CA 92663
3300 Newport Boulevard, Newport Beach,
Description of Work
Use F Const Type F
�cooler
StoriesF_ # Units (if Res)
Valuation $
Material/Labo g, 6700
12 3 sf new ou o s rvic o0 op a an a in the ex-isti-rTg-Li-d-olious-ell-oTer—#
New/Add SF123 Remodel SF 7—Garage/New/Add
OWNER'S NAME Last
First RD OLSON DEVELOPMENT
Owner's Address
Owner's E-mail Address
520 NEWPORT CENTER DR. #600
anthony.wrzosek@rdodevelopment.com
City NEWPORT BEACH State CA
Zip 92660 Telephone 9492711100
APPLICANT'S NAME Last WRZOSEK
First ANTHONY
Applicant's Address
Applicant's E-mail Address
520 NEWPORT CENTER DR. #600
anthony.wrzosek@rdodevelopment.com
City NEWPORT BEACH State CA
Zip 92660 Telephone 9492711100
ARCHITECT/DESIGNER'S NAME Last VILLEGZ First GREGORY Lic. No. 26518
Architect/Designer's Address
Architect/Designer's E-mail Address
300 SPECTRUM CENTER DR, #500
gvillegas@watg.com
City IRVINE State CA
Zip 82618 Telephone 9495748500
ENGINEER'S NAME Last PAUL FirstCLIFFORD Lic. No. 50390
Engineer's Address
Engineer's E-mail Address
7434 EAST MCDONALD DR.
CPAUL@PKASTRUCTRURAL,COM
City SCOTTSDALE State �—
Zip 85250 Telephone F480 922.8854
CONTRACTOR'S NAME/COMPANYLic. No. 453845 Class
_� ti dl-$orJ Cyrls'CtzalC'0.urJ
Contractor's Address
Contractor's E-mail Address
t 1v0 SL cSr 2W CC,-Nrbf-
City 1p Vtr State F(;�_
ZiP Tt,_ci TelephoneFit - 22Z ?j ll(o
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ® ` L o
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $