HomeMy WebLinkAboutX2021-1204 - Permit ApplicationPrint Form jl Worksheet for Combo Building & Solar Permit Application ON
(x Comm'I [- Residen�2'r I� `�" City of Newport Beach - Building Division $S2j W I .5t
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rlBuIIding F, Grading
;Drainage F,Elec F_Mech r Plum cu rd cut CuvdFill 177
Project Address (Not mailing address) Ci Flood F_ Fire Liq r' Landslide [N/A Floor Suite No
883 W. 15TH STREET, NEWPORT BEACH—i
Description of Work
Use A3/E ConstType Fi
TENANT IMPROVEMENT WORK WHICH INCLUDES, DMO OFXI ITIN . LOCKER ROOM AND
RESTROOMS, NEW PARTITIONS, LIGHTING, POWER, PLUMBING AND FINISHES.
# StoriesFj # Units (if Res)
Valuation 307,499
bor
Material/Labor
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New/Add SF�
-
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Remodel SF 1,276 Garage/New/Add I
OWNER'S NAME
Last First City of Newport Beach
Owner's Address
Owner's E-mail Address
100 Civic Center Dr.
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1
City [Newport Beach
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State CA Zip 92660 Telephone 949 644 3309
APPLICANT'S NAME
Last David First O'Neil
Applicant's Address
Applicant's E-mail Address
11 883 W 15th Street
J doneil@pacificaoc.org
City Newport Beach
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State Zip Telephone 949--7 2070 x.3
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ARCHITECT/DESIGNER'S NAME Last Santillan I FirstMichael Lic. No. c-23337
Architect/Designer's Address
Architect/Designer's E-mail Address
9850 Irvine Center Drive
edgar.villa@cascodesignstudio.com
City Irvine
State CA Zip 92618 Telephone 949-679 6880
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ENGINEER'S NAME
Last EsP inoza First Fusty Lic. No. TC -A813874
Engineer's Address
Engineer's E-mail Address
3064 E. Miraloma Ave.
respinoza@sunwestelect.com
City Anaheim State Telephone 714-264 8278CZF—
CONTRACTOR'S NAME/COMPANY Casco Contractors, LLC Lic. No.790706 Class _7
Contractor's Address
Contractor's E-mail Address
9850 Irvine Center Drive
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Kim.STEFFENHAGEN@CASCOCONTRACTORS.COM
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City Irvine
StateCA Zip 92618 Telephone 949-679 6880
SETBACKS REAR
SETBACKS FRONT PERMIT NO-..
SETBACKS LEFT
t..
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
n A q
DEVELOPMENT NO IN l'� d� PLAN CHECK FEES $