HomeMy WebLinkAboutX2021-0161 - Permit ApplicationWorKsheet for Combo Building a Solar Permit Application
City of Newport Beach - Building Division
X Comm'I (- Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Fx-Building F_ Grading rDrainage r-Elec Mech r Plum Cu vd Cut Cu Yd Fill
Project Address (Not mailing address) Flood r Fire r Liq r Landslide LF-N/A Floor Suite No
4000 Macarthur Blvd. F_ F_
Description of Work Use F ConstType 1A
'ite and nwidmo common area upgiad c r�plan rheck number 2204:2090
# Stories #Units (if Res)
Valuation $ 16,000.00
New/Add SF �— Remodel SF r. Garage/New/Add F— Material/Labor
OWNER'S NAME Last Alexander First
Owner's Address Owner's E-mail Address
4000 MacArthur cada.alexander@hines.com
City Newport Beach State CA Zip 92660 Telephone 613665 5383
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
15301 California Ave., Suite 100 narambarri@lpadesignstudios.com
City Irvine State CA Zip 92660 Telephone 949-701-4002
ARCHITECT/DESIGNER'S NAME Last Arambarri First Nick Lic. No. C31441
Architect/Designer's Address Architect/Designer's E-mail Address
5301 California Ave., Suite 100 narambarri@lpadesignstudios.com
City Irvine State CA Zip 92660 Telephone 949-701-4002
ENGINEER'S NAME Last First I Lic.
Engineer's Address Engineer's E-mail Address
City State F— Zip F— TelephoneF_
CONTRACTOR'S NAME/COMPANY Lic. No. (o�S�ln� z Class Cl�q
�'auB���ut„iG C�v�ptaay
Contractor's Address Contractor's E-mail Address
67 S u\JvJG 5'r•
City State C._ Zip `�Z x0s Telephone
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SETBACKS REAR
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SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO. )(,U yl 'V i"l
PLAN CHECK NO. 0 (1.$,' ty/
=ZONE DEVELOPMENT NO PLAN CHECK FEES$