HomeMy WebLinkAboutX2019-0657 - Permit Application047Z_ pjq y�ol9-os57
Print Form Worksheet for Combo Building & Solar Permit Application ��PoRa
Comm'I f- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c.'�oa�'
FX -Building F_ Grading J -Drainage FT Elec fx_ Mech Fx7 Plum Cu Yd cut Cu Yd Fill F-
-
Project Address (Not mailing address) F Flood r, Fire [ Liq r Landslide FN/A Floor Suite No
895 DOVE STREET, NEWPORT BEACH, CA 92660 I' FTNS
Description of Work
Use LB Const Type 16
#Stories # Uhits (if Res)
CREATION OF GYM TENANT AMENITY- INCLUDING DEMOLITION.
ELECTRICAL, MECHANICAL, AND PLUMBING.
PARITION CEILING. FINISHES
-
Valuation
MaterialAabor
New/Adddd S SF _ Remodel SF 1788
�
Garage/New/Add
OWNER'S NAME Last DOBENS
First KELLY
Owner's Address
Owner's E-mail Address
4000 W. METROPOLITAN DR., SUITE 190
KELLY.DOBENS@AM.JLL.COM
City ORANGE State CA Zip 92868 Telephone 714-939-2025
APPLICANT'S NAME LastWILSON
First JACLYN
-
Applicant's Address
----
Applicant's E-mail Address
17877 VON KARMAN AVENUE, SUITE 200
1.WILSON@INTERIORARCHITECTS.COM
City IRVINE State CA
Zip 92614 Telephone 949-798-7318
ARCHITECT/DESIGNER'S NAME Last KELLY ,FirstLISA Lic. No. 32528
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
17877 VON KARMAN AVENUE, SUITE 200
L.KELLY@INTERIORARCHITECTS.COM
City IRVINE State CA
Zip 92614 Telephone 949-798-7300
ENGINEER'S NAME Last DIRPES
First CORNELIA Lic. No.F—
Engineer's Address
Engineer's E-mail Address
16501 SCIENTIFIC WAY, SUITE 200
CORNELIA@PDA-ENG.COM
City IRVINE State CA
Zip 92618 Telephone 949-852-1491
CONTRACTOR'S NAME/COMPANY Lic. No.631 5-�4i2. Class I
Contractor's Address
Contractor's E-mail Address
iON._0✓q.1 ye_ /j v(—
os & U-419-4!4-C4�11 rt.+ .
City TSQe� - State I vim—
Zip �21
Telephone Zss�Z,
SETBACKS REAR SETBACKS FRONT -
PERMIT NO. (b-0, I
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 0 ON 2-
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ 09.