HomeMy WebLinkAboutXC2023-0171 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o4?EWPoR
� Comm'I F_ Residential City of Newport Beach - Building Division _
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building r Grading F-Drainage Fx_Elec fkMech
F- Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) F_ Flood F_ Fire r Liq F_ Landslide FX N/A Floor Suite No
700 NEWPORT CENTER DRIVE - 5TH FLOOR (PACIFIC LIFE) F—
Description of Work
Use Const Type 1-A
# Stories #Units (if Res)
OFFICE ALTERATIONS INCLUDING NEW FINISHES, CEILING AND POWER.
NOTE: EXISTING EXITING NOT ALTERED BY SCOPE.
Valuation $ I0 1 ^ d a
Material/Labor
New/Add SF Remodel SF 574 Garage/New/Add �—
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 SUSAN Lic. No. C-33724
Architect/Designers 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 I— Lic. No.F_
Engineer's Address
Engineer's E-mail Address
I
City � State F_
Zip F_ Telephone[ --
CONTRACTOR'S NAME/COMPANY GIOVANNI CANGELOSI / HBC Lic. No. F__ Class
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. Xe, -or 1r,6 - L91 0
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $