HomeMy WebLinkAboutX2021-0468 - Permit Application (2)X2624-Ouw g
P��t Form Worksheet for Combo Building & Solar Permit Application gComm'I r Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX—Building r Grading
F—Drainage rElec F_Mech r Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) C Flood [_ Fire r Liq r Landslide Fx_N/A Floor Suite No
700 NEWPORT CENTER DRIVE, THIRD FLOOR THIRD—'
Description of Work
Use IB Const Type 1-A
#Stories #Units (if Res)
DEMOLITION OF EXISTING OFFICE SPACE INTERIOR FINISHES AND NON-BEARING PARTITIONS
TENANT
TO BRING INTERIOR BACK TO
SHELL CONDITION FOR FUTURE IMPROVEMENT
Valuation $qq� b,
Material/Labor 1 0 R
�00
New/Add SF�
Remodel SF 9,594 Garage/New/Add
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 Telephone 949-219-3011
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 Telephone 949-851-3080
ARCHITECT/DESIGNER'S NAME Last DWYER First SUSAN Lic. No. C-33724
ArchitectlDesigner's Address
ArchitectlDesigner's E-mail Address
4770 CAMPUS DRIVE, SUITE 100 SDWYER@HHENDY.COM
City NEWPORT BEACH
State CA Zip 92660 Telephone 949-851-3080
ENGINEER'S NAME
Last First F_ Lic. No.F--
Engineer's Address
Engineer's E-mail Address
City
State F___ Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. • O-Aw
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK N
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $