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Print Form;, Worksheet for Combo Building & Solar Permit Application
X Comm'I r Residential City of Newport Beach - Building Division �(
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL"t oaar
f—R.Building {— Grading
(`,Drainage fX Elec jx Mech f—x Plum Cu Yd Cut l Cu Yd Fill
Project Address (Not mailing address) f— Flood F- Fire f— Liq r'; Landslide ix N/A Floor Suite No
[4400 MacArthur Blvd
too
Description of Work
t :�ii e l I T
Use F Const Type 1 A
# Stories # Units (if Res)
Commercial tenant improvement including demolition of select walls, construction of offices
work.at, and plumbing
construction in restroom to correct
reach range issues. No site work.
Valuation $ 700,000
Material/Labor
New/Add SF
Remodel SF 15,276 Garage/New/Add �-
OWNER'S NAME Last Del Carmen Villaluz First Jannelle
Owner's Address
Owner's E-mail Address
2040 Main Street, Suite 570 'annelle@greenlawpartners.com
City Irvine
State CA Zip 92614 Telephone 949-331-1300
APPLICANT'S NAME
Last Brown First Christina
Applicant's Address
Applicant's E-mail Address
4770 Campus Dr., Suite 100
icbrown@hhendy.com
City Newport Beach
State CA Zip 92660 Telephone 959-851-3080
ARCHITECT/DESIGNER'S NAME Last Dwyer First Susan Lic. No. C-33724
Architect/Designer's Address
Arch itecUDesigner's E-mail Address
4770 Campus Dr., Suite 100
sdwyer@hhendy.com
City Newport Beach
State CA Zip 92660 Telephone 949-851-3080
ENGINEER'S NAME
Last Rao First Ravish Lic. No. M39461
Engineer's Address
Engineer's E-mail Address
16501 Scientific Way
ben@pda-eng.com
City Irvine
State CA Zip 92618 Telephone 949-852 1491
CONTRACTOR'S NAME/COMPANY U IT WNS TRUL Ti o N Lic. No. q 3 ?d 1$ Class Fdpi
c_,0 R P0R A-Tt SON
Contractor's Address
Contractor's E-mail Address
4",1t lv11(-HE1,sON
, SvtTE 5oo MuK%JL•t,At)SutMDPrR � uPRtTECo. coM
City Rv 1 N
State L F} Zip �2, 2 Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO. tclo
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. (nC (C
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $