HomeMy WebLinkAboutP2019-0300 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application
FX– Comm'I r Residential City of Newport Beach - Building Division oc'aw,Ps
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading rDrainage r Elec r Mech r Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
2620 San Miguel Drive, Newport Beach, CA 92660 I 2620
Description of Work
Use F—Const Type
Demolish existing 1-1/4" gas line, and install new 2" gas line.
# Stories7 # Units (if Res)[_
Valuation $ F51000
New/AddSFF— RemodelSF
Garage/New/Add F—Material/Labor
OWNER'S NAME Last Irvine Company
First Attn: Paul Lillis
Owner's Address
Owner's E-mail Address
110 Innovation Drive
plillis@irvinecompany.com
City Irvine State CA Zip 92617 Telephone949.720.3142
APPLICANT'S NAME Last Blazer
First Allison
Applicant's Address
Applicant's E-mail Address
2301 Dupont Drive, Suite 150
cblazer@linwoodengineering.com
City Irvine State CA
Zip 92612 Telephone 714.424.0001
ARCHITECT/DESIGNER'S NAME Last
FirstF Lic. No. F—
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City � State F—
Zip [_ TelephoneF_
ENGINEER'S NAME Last Franklin
First Adam Lic. No. M34633
Engineer's Address
Engineer's E-mail Address
2301 Dupont Drive, Suite 150
afranklin@linwoodengineering.com
City Irvine State CA
Zip 92612 Telephone 714.424.0001
CONTRACTOR'S NAME/COMPANY G x/07// j{SnlNG7/OIy /YC Lic. No. 2� ��7 C1 ClassF
Contractor's Address
Contractors E-mail Address
city I State F_
Zip F TelephoneF_
SETBACKS REAR SETBACKS FRONT
PERMIT NO.'ZC�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.'
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $