HomeMy WebLinkAboutX2021-2261 - Permit Application01
00%Pret for Combo Building SolarPermit Application
int Form Wor Beach lVl�r Comm'I r— Residential
/
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX -Building rGrading Drainage rElec rMech F- Plum Cu Yd Cut C dFillF v
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide Floor Suite No
Newport Center Dr
�' 811
" ription of Work
Use I'"' Const Ty
Installation of stockroom shelving units for existing retail store,Non
storage oveC 12'
high pile storage No
_B
#Stories #Units (if �s11
Valuation $ $10, 000
Material/Labor
n
New/Add SF Remodel SF /ec Q
Gara a/New/Add
g F.
OWNER'S NAME Last
First Irvine Company
Owner's Address
Owner's E-mail Address
110 Innovation Dr
City Irvine State CA Zip 92617 Telephone 949-292-5786
APPLICANT'S NAME Last Webster
First Jacob
Applicant's Address
Applicant's E-mail Address
1236 Portola Ave
websterjacob@aol.com
City Torrance StateCA
Zip 90501 Telephone 310-702-7852
ARCHITECT/DESIGNER'S NAME Last First Lic. No. F—
i
Architect/Designer's Address
Architect/Designer's E-mail Address
City State f
Zip [ Telephone
ENGINEER'S NAME Last VanCamp
FirstRobert Lic. No.84506
Engineer's Address
Engineer's E-mail Address
365 NE Quimby Ave
City Bend State OR
Zip 97701 Telephone 541-389-9659
CONTRACTOR'S NAME/COMPANY
Lic. No. �� 4i1 Class C`/
"7
`,
Contractor's Address
Contractor's E-mail Address
2 60� we/
City �`�,� State I `
Zip 9 Telephone r/ l `2 e e /
SETBACKS REAR SETBACKS FRONT
PERMIT NO. �~
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK N4. I
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $