HomeMy WebLinkAboutX2022-0908 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
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Residential City of NewportNOTE: PLAN CHECK FES DUE AT THE OFing ISUBMITTAL
ding rGrading rDrainage rElec r,Mech rx Plum CurdCut F CuvdFill F
eject Address (Not mailing address) r Flood r Fire r Li Landslide rN/A Floor Suite No
5020 Campus Dr.
I' z30
Description of Work
Use F Const Type VB Spra
# Stories #Units (if Res)
t 247 SF Sleep Center medical clinic tenant improvement within
and existing warm shell
building
Valuation$
New/Add SFr-- RemodelSFF Garage/New/Add—
50,000.00
Material/Labor Fsl
OWNER'S NAME Last Alaghband
First Fred
Owner's Address
Owner's E-mail Address
Newport Campus LLC 5020 Campus Dr. Suite 25.0
falaghband@acsirvine.com
City Newport Beach State CA
Zip 92660 Telephone 949.263.1920
APPLICANT'S NAME Last Schafer
First Michael
Applicant's Address
Applicant's E-mail Address
23192 Alcalde Dr. Suite G
mschafer@msa-corp.net
City Laguna Hills State CA
Zip 92653 Telephone 949.584.5426
ARCHITECT/DESIGNER'S NAME Last Schafer First Michael Lic. No. C-13366
Architect/Designer's Address
Architect/Designees E-mail Address
23192 Alcalde Dr. Suite G
mschafer@msa-corp.net
City Laguna Hills State CA
Zip 92653 Telephone 949.584.5426
ENGINEER'S NAME Last
First Lic. No.F
Engineer's Address
Engineer's E-mail Address
City �— State I
Zip I Telephone
CONTRACTOR'S NAME/COMPANY Column4Construction
Lic. No. 992770 ClassFB
Contractor's Address
Contractor's E-mail Address
5020 Campus Dr. Suite 250
alan@column4construction.com
City Newport Beach State CA
Zip 92660 Telephone 949.337.0884
SETBACKS REAR SETBACKS FRONT
PERMIT NO. X 26 ZZ U `Q!J
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. l jq � b _2.OZ2
USE ZONE DEVELOPMENT NO
v
PLAN CHECK FEES $ Z l 3 0 d 31