HomeMy WebLinkAboutXC2022-1933 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o;@
IX Comm'I (— Residential City of Newport Beach - Building Division 3
NOTE: PLAN CHECK FEES DUE AT TIME nF Sl IRMITTAI
rBuilding F Grading (—Drainage (X Elec rMech r Plum CuYdCut F CuYdFill IO
Project Address (Not mailing address) F_ Flood r Fire F_ Liq F_ Landslide rN/A Floor Suite No
041 Mac Athur Blvd
-- lo0
Description of Work
Use I" ConstType II-B
Interior office remodel Tenant Improvement.
New walls doors ceilig
lighting and finishes.
# Storiesw # Units (if Res)
Mech and electrical modification to existing systems �A ��
'y�Yi,
' t!iGII./�N.-'_�
New/Add SFF Remodel SF 439
Garage/New/Add
Valuation $
Material/Labor45000.00
OWNER'S NAME Last Lincoln Property CO
First Jeff Du Chateau
Owner's Address _
041 MacArthur Suite250
Owner's E-mail Address
duchateau@Ipc.com
City Newport Beach State CA Zip 2660 Telephone 949 799-3430
APPLICANT'S NAME Last Martin
First Richard
Applicant's Address
17 Singletree Drive
Applicant's E-mail Address
beck-martin@sbcglobal.net
City Newport Beach State CA
Zip 92660 Telephone 949 287-6617
ARCHITECT/DESIGNER'S NAME Last Martin
First Richard Lic. No. C74204
ArchitectlDesigners Address
Architect/Designer's E-mail Address
17 Singletree Drive
beck-martin@sbcglobal.net
City Newport Beach State Ca
Zip 92660 Telephone 949 287-6617
ENGINEER'S NAME Last ,
First F— Lic. No.�—
Engineer's Address _
Engineer's E-mail Address
City State �
Zip [ Telephoned
CONTRACTOR'S NAME/COMPANY FAILS CUSTOM) SOILCDO S Lic No. rtio�_(_/.o Class F—
Contractor's Address
Contractors E-mail Address
I773 W. Uocou►a A+.O Sri, r--
6P���I�.�a�ep�-t�cc.cG►✓l
City ��
�t.1A4keIM State c--�b
Zip Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. TLLRk4, '
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $