HomeMy WebLinkAboutXC2023-0358 - Permit ApplicationPrint Form Worksheet for Combo Building $ Solar Permit Application
Ix Comm'I j- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding j-Grading rDrainage rx—Elec
FT Mech r Plum CuYdCutF- CuYdFill
Project Address (Not mailing address) f Flood r Fire r Liq F_ Landslide I —N/A Floor Suite No
12
OO Newport Center Drive X WQ �P f
1 �` 260
Description of Work
qa�
se rB ConstT a III -A
FP
NT IMPROVEMENT WORK ON + _� cni ii c< <T E TOTAL FI nnR nRae ninYPR, LIGHTING AND FINISHES. Stories 2
# Units (if Res)F—
New/AddSFr— RemodelSF2,501 Garage/New/Add[_ luation$ F
20447
Material/Labor
OWNER'S NAME Last liason
First Bunnell
Address
novation Dr
Owner's E-mail Address
LOwn&s
jbunnell@irvinecompany.com
VINE State CA
Zip 92617 Telephone 7146142507
APPLICANT'S NAME Last
ISALINAS
First I ITZIA
Applicant's Address
1860D MACARTHUR BLVD SUITE 100
Applicant's E-mail Address
(SALINAS@SAAIA.COM
F
City IRVINE State
CA Zip 92612 Telephone 949.608.3771
ARCHITECT/DESIGNER'S NAME
Last ALGAZE First NELSON
ArchitecUDesigner's Address
Lic. No. C-21090
6083 BRISTOL PARKWAY
Architect/Designer's E-mail Address
NALGAZE@SAAIA.COM
City CULVER CITY State
CA Zi 90230
P Telephone 310.553.3252
ENGINEER'S NAME Last DIRPRES
First CORNELIA Lic. No.F—
Engineer's Address
16501 Scientific Way, Suite 200, Irvine CA 9261
Engineer's E-mail Address
comelia@pda-eng.com
City
Irvine State
CA Zi P
92618 Telephone
(949) 5594-0076
CONTRACTOR'S NAME/COMPANY
Lic No. F_ Class
Contractor's Address
Contractor's E-mail Address
City I State F—
ZiP F— Telephoned—��
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT PERMIT NO.
PLAN CHECK NO. Tbu" 7,2,10
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $