HomeMy WebLinkAboutXC2023-0170 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
[x— Comm'I [- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jx Building [- Grading [—Drainage (x Elec fj�Mech
[- Plum CuydCut F CuydFill F
Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide Fx_N/A Floor Suite No
700 NEWPORT CENTER DRIVE - 4TH FLOOR (PACIFIC LIFE) - F
Description of Work
Use ConstType 1-A
OFFICE ALTERATIONS INCLUDING NEW FINISHES, CEILING AND POWER.
# Stories #Units (if Res)
NOTE: EXISTING EXITING NOT ALTERED BY SCOPE.
Valuation $IQI'G�^ oU,
Material/Labor
New/AddSFI Remodel SF448 Garage/l F
OWNER'S NAME Last BUNNELL
First JASON
Owner's Address
Owner's E-mail Address
111 INNOVATION DRIVE
JBUNNELL@IRVINECOMPANY.COM
City IRVINE State CA
Zip 92617 Telephone 949-720-5288
APPLICANT'S NAME Last H. HENDY ASSOCIATES
First VAN ANH VAN
Applicant's Address
Applicant's E-mail Address
4770 CAMPUS DRIVE, SUITE 100
WAN@HHENDY.COM
City NEWPORT BEACH State CA
Zip 92660 Telephone 949-851-3080
ARCHITECT/DESIGNER'S NAME Last DWYER First FSUSAN Lic. Na. C-33724—
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
4770 CAMPUS DRIVE, SUITE 100
SDWYER@HHENDY.COM
City NEWPORT BEACH State CA
Zip 92660 Telephone 949-851-3080
ENGINEER'S NAME Last
First Lic No.[
Engineer's Address
Engineer's E-mail Address
City State �
Zip F Telephoned
CONTRACTOR'S NAME/COMPANY GIOVANNI CANGELOSI / HBC Lic No. Class F
Contractor's Address
Contractor's E-mail Address
3184 AIRWAY AVENUE, UNIT K
GCANGELOSI@HOWARDBUILDING.COM
City COSTA MESA State CA
Zip 92626 Telephone 714-438-2272
SETBACKS REAR SETBACKS FRONT
PERMIT NO. A ?y ! O
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $