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HomeMy WebLinkAboutX2021-0469 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application rEW�Re (x Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �60PY�P FK—Building [ Grading r—Drainage f—Elec rMech r Plum CuvdCut F Cu Yd Fill F Project Address (Not mailing address) F_ Flood F— Fire F_ Liq rLandslide V'N/A Floor Suite No 700 NEWPORT CENTER DRIVE, FOURTH FLOOR IFOURTH Description of Work Use FB Const Type 1-A #Stories #Units (if Res)'. DEMOLITION OF EXISTING OFFICE SPACE. INTERIOR FINISHES AND NON-BEARING PARTITIONS TO BRING INTERIOR BACKTO SHELL CONDITION FOR FUTURE TENANT IMPROVEMENT Valuation $ Material/LaborF1)/ New/Add SF F_ Remodel SF 9,353 Garage/New/Add �^V OWNER'S NAME Last BALFOUR First SARAH Owner's Address Owner's E-mail Address 700 NEWPORT CENTER DRIVE SARAH.BALFOUR@PACIFICLIFE.COM City NEWPORT BEACH State CA Zip 92660 Telephone949-219-3011 APPLICANT'S NAME Last H. HENDY ASSOCIATES First ADEY ANTHONY Applicant's Address Applicant's E-mail Address 4770 CAMPUS DRIVE, SUITE 100 AANTHONY@HHENDY.COM City NEWPORT BEACH State CA Zip 92660 Telephone949-851-3080 ARCHITECT/DESIGNER'S NAME Last I DWYER First SUSAN Lic. No. C-33724 Architect/Designer's Address Architect/Designer's E-mail Address 4770 CAMPUS DRIVE, SUITE 100 S City NEWPORT BEACH State CA 92660 Telephone949-851-3080 Zip ENGINEER'S NAME Last First F_ Lic. No.F-- Engineer's Address Engineer's E-mail Address City State F Zip F TelephoneF CONTRACTOR'S NAME/COMPANY Lic. No. F Class F Contractor's Address Contractor's E-mail Address City State [-- Zip Telephone SETBACKS REAR SETBACKS FRONT PERMIT N0. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK Nd USE ZONE DEVELOPMENT NO PLAN CHECK FEES $