HomeMy WebLinkAboutX2021-0501 - Permit ApplicationXul?/I — 05� I 34-7 rev rWt CWt-rlV W
Print Form Worksheet for Combo Building & Solar Permit Application
R Comm1 r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G.,.�•r•'
RBuilding r Grading
rDrainage R Elec D? Mech 0? Plum Cu Yd Cut F Cu Yd Fill F
Pr ject Address (Not mailing address) I— Flood r Fire r Liq (— Landslide �N/A Floor Suite No
1 ewport Center Dr�® Ground 347
Description of Work
Use F__ ConstType IIIB
T.I. -Remodel of existing retail space at Fashion Island. All 'nterior.Nochangp'nuse.sqft..
storefront or site. Just a change in tenant. Minor MEP work.
# StoriesF # Units (if Res)1—
Valuationa $400,000
Material/Labor
New/Add SF
Remodel SF Garage/New/Add
OWNER'S NAME
Last Murphy First Ryan
Owner's Address
Owner's E-mail Address
1155 Battery Street
Rmurphy@levi.com
City San Francisco
State CA Zip 94111 Telephone 415.860.0174
APPLICANTS NAME
Last Mary B. Ryan: Levi's First
Applicants Address
Applicant's E-mail Address
P.O. Box 3749
maty@permitresources.com
City Mission Viejo
State CAZip 92690 Telephone 949.374.4254
ARCHITECT/DESIGNER'S NAME Last Dacumos First Don Lic. No.224274
Architect/Designees Address
Architect/Designees E-mail Address
960 Atlantic Avenue
Raya@mbharch.com
City Alameda
State CA Zip 94501 Telephone 5108143485
ENGINEER'S NAME
Last N/A First '�� o
Engineer's Address
ngi ail
i3
City S7 L_ou%S
State FT�-F_ Zip G`31t 0 Telephone 316/-533'
CONTRACTOR'S NAME/COMPANY TB Lic. No.cZ,Slass
Gf 1(l r SJS z �5 FB
�k�
Contractors Address
Contractor's E-mail Address
C� �cvepUM 15� lcsr�lrrctt�
City
State Zip Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO. yv},ii I D�7G
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $