HomeMy WebLinkAboutX2019-1583 - Permit ApplicationX 201 V;6 ",)
Pant Form ! Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
�'. Comm'I r1 Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
riBuilding [I Grading ❑Drainage E Elec r Mech F Plum cuvdCut l— Cu Yd Fill f j
Project Address (Not mailing address) ❑Flood r -Fire r7 Liq r7Landslide [IN/A Floor Suite No
1thFL _--
120 Newport Center Dr
Description of Work IV1 1 Use Const Type Type 1
Minor Interior Renovation of 2 Offices and 1 Confer ce Room consisting of wall construction,
• I_._..__ 1�
# StoriesF7 # Units (if Res)[,
new ceilings, new electrical, relocated light fixtures, furniture and new finishings. 0
Valuation $
New/Add SF�' Remodel SF 544 Garage/New/Add Material/Labor
OWNER'S NAME Last hardy I Firstiffany
Owner's Address
City State
APPLICANT'S NAME Last
Applicant's Address
3400 Riverside Dr #202
City herman Oaks State A
Owner's E-mail Address
iffany_hardy@am.jll.com
Zip 1 , Telephonep19 929 4133
First
Applicant's E-mail Address
Gayton@permitplace.com --
Zip 1423 Telephone 18 573 2484 -
ARCHITECT/DESIGNER'S NAME Last ettle J, First hilip Lic. No. -10316 —J
ArchitectlDesigner's Address
100 Wilshire Blvd
City os Angeles State—
Architect/Designer's E-mail Address
guzy@nelsonww.com —�
Zip 0048 J Telephone 04 774 4890
ENGINEER'S NAME Last i First - ! Lic. No.�-1
Engineer's Address
City ----- - — State C
Engineer's E-mail Address
ZipI I Telephone
CONTRACTOR'S NAME/COMPANY /� Lic. No. 2W7U-61 Clas,
F -8 -
Contractor's Address
City a State a F%
i.y_`je i Contractor's
----
E-mail Address
Zip idWO Telephone ---
REAR SETBACKS FRONT PERMIT NO. ld1 • liJU'
'T SETBACKS RIGHT PLAN CHECKNO. I .�('k
DEVELOPMENT NO PLAN CHECK FEES $ _ t