HomeMy WebLinkAboutXC2023-0096 - Permit ApplicationPrint 'Form Worksheet for Combo Building & Solar Permit Application ob.�%AW-ZoGZ Comm'I F_ResidentialCity of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
DCBuilding F_ Grading
(—Drainage R Elec )? Mech Q Plum Cu Yd cuf Cu Yd rill F
Project Address (Not mailing address) r Flood F_ Fire F_ Liq r Landslide F_N/A Floor Suite No
Newport Center Drive Newport Beach, CA 92660
Description of Work
Use ConstType III
Remodel of Existing Lenscrafters tenant space.
# Stories # Units (if Res)F—
Valuation $
Material/Labor F33; C�0
New/Add SFF_
Remodel SF 32Z Garage/New/Add
OWNER'S NAME
Last Fletcher First Rebecca
Owner's Address
Owner's E-mail Address
420 5th ave, suite 28
Fetcher@nextoreretail.com
City New York
State NY Zip 10018 Telephone 9089170218
APPLICANT'S NAME
Last lAgulan First Poyce
Applicant's Address
Applicant's E-mail Address
16720 Index Street
'oyce@cornerstonepermit.com
City Granada Hills
State CA Zip F344 Telephone 18-720-2147
ARCHITECTIDESIGNER'S NAME Last olfe First Maureen Lic No. F _—
Architect/Designees Address
Architect/Designers E-mail Address
Sargenti Architects
mwolfe@sargarch.com
City Parramus
State NJ Zip 07652 Telephone 201-701-5312
ENGINEER'S NAME
Last Morse _ First Aaron Lic. No. 23789
Engineer's Address
Engineers E-mail Address
110 W. 7th Street Suite 600
Aaron.Morse@mpwengineering.com
City Tulsa
State OK Zip 74119 Telephone 918.582.4088
CONTRACTOR'S NAME/COMPANY
yg 2/1 lor&4, Lic No. GSA 7$5 Class
Contractor's Address f $%S
'Z cet-lf Contractor's E-mail Address
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City I OY�� 714 C/o
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State � Zip R� Telephone
7
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SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ Z,AZ3- WI S