HomeMy WebLinkAboutXC2023-0250 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o� PC,9,0
x Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading rDrainage Fx_ Elec r Mech
r Plum CuYdcut[- CuYdFill F_
Project Address (Not maifi address) F Flood r Fire r Liq r Landslide FN/A Floor o
5000 Birch Street LEast Tower
I' 405
Description of Work u �K, �
Use ConstType I -A
TENANT IMPROVEMENT TO EXISTING OFFICE SPACE TO PROVIDE COMMERCIAL INTERIOR
# StoriesF6 # Units (if Res)
OFFICE ALTERATIONS INCLUDING MINOR DEMO, NEW FINISHES, AND
ASSOCIA! ED MEP
IMPROVEMENTS.
Valuation F$147,490
bor
Material/Labor
New/Add SF Remodel SF 2,107 Garage/New/Add
OWNER'S NAME Last Kember
First Chalinee
Owner's Address
Owner's E-mail Address
3161 Michelson Drive, Ste 410
City Irvine State CA
Zip 92612 Telephone 949-237-7000
APPLICANT'S NAME Last Smarker
First Jessica
Applicant's Address
Applicant's E-mail Address
4770 Campus Drive, Ste 100
jsmarker@hhendy.com
City Newport Beach State CA
Zip 92660 Telephone 949-851-3080
ARCHITECT/DESIGNER'S NAME Last Dw er First Susan I —
y Lic. No. C-33724
Architect/Designer's Address
Architect/Designer's E-mail Address
4770 Campus Drive, Ste 100
sdwyer@hhendy.com
City Newport Beach State CA
Zip 92660 Telephone 949-851-3081
ENGINEER'S NAME Last Safaian
First Ali Lic. No. E21819
Engineer's Address
Engineer's E-mail Address
1920 Main Street, Ste 980
ali@mepcal.com
City Irvine State CA
Zip 92614 Telephone (949) 516-6480
CONTRACTOR'S NAME/COMPANY
Lic. No. �— ClassF—
Contractor's Address
Contractor's E-mail Address
City State F
Zip F TelephoneF—
SETBACKS REAR SETBACKS FRONT
PERMIT NO. XCIL7_ � _ 02� 1jIL7_ j _ O2� D
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. pe�z�,• G my �'
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $