HomeMy WebLinkAboutX2020-2423 - Permit ApplicationForm '1 Worksheet for Combo Building & Solar Permit Application
n'I r Residential City of Newport Beach - Building Division X 2,0 M ZL Zj
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[;Building Grading (`Drainage rl Elec, Mech fix; Plum cu yd cut; Cu Yd Fill
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Project Address (Not mailing address) F7, Flood F_- r_ -I Liq FI Landslide CN/A Floor Suite No
3100 W. Balboa Blvd., Newport Beach, CA 92663
Description of Work
Use I'"' Const Type [111-BNew
refrigeration and display cases/equipment at Sales area and departments. New Starbucks
klosk, relocate Floral •
public restrooms, revise employee break room, LED lighting upgrades at various locations.
# Stories 1 # Units (if Resf —
Valuation $ 775 000
Material/Labor
New/Add SFRemodel SF F7224 Garage/New/Add
OWNER'S NAME Last Her �] First Paul
'"`; L -
Owner's Address wner's i Address
1421 South Manhattan Ave. paukherman@albertsons.com
City Fullerton State CA Zip 92831 Telephone 714 300.6406
APPLICANT'S NAME Last Craig First Cedric
Applicant's Address Applicant's E-mail Address
301 Hartz Ave., Ste 213 iric@fcgainc.com
City Danville State CA Zip 94526 Telephone 925.858.7461
ARCHITECT/DESIGNER'S NAME Last Craig First Cedric Lic. No. C15490
Architect/Designer's Address ArchitectlDesigner's E-mail Address
301 Hartz Ave., Ste. 213 ric@fcgainc.com
City Danville State CA Zip 94526 Telephone 925.858.7461
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
City I State F Zip j— Telephone
CONTRACTOR'S NAME/COMPANYLic. N
Contractor's Address Contractor's E-mail Address
City �— State �— Zip �—
-(Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. v
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $