HomeMy WebLinkAboutX2017-0429 - Permit ApplicationY 2-011- WA 2-1
FrintForm Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[—Building [Grading [Drainage I—Elec F - Mach(
- -Plum Cu yd cuc5o Cu rd Fill 50
Project Address (Not mailing address) F_ Flood r Fire (' Liq r Landslide rN/A Floor Suite No
601 Newport Center Drive
Description of Work
Use F Const Type F
A Stories[— k Units (if Res)
Pr22tse
Grading fbr volumary Rum improvements
Valuation 5
I''�
New/Add SFF_ Remodel SF 59,690 Garage/New/Add 1
(,286,02250
Material/Labor
OWNER'S NAME Last Irvine Company
First
Owners Address
Owner's E-mail Address
401 Newport Center Drive
jwoldenberg@irvinecompany.com
City Newport Beach State [CA_
Zip 92660 Telephone (949) 720-3300
APPLICANT'S NAME Last (STANTEC) / Holland
First Rob
Applicant's Address
Applicant's E-mail Address
38 Technology, Ste. 100
rob.holland@stantec.com
City Irvine State CA
Zip 92618 Telephone (949) 923-6260
ARCHITECT/DESIGNER'S NAME Last �— First-- Lic. No, �-
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F
Zip Telephoner
ENGINEER'S NAME Last (STANTEC)lThiessen
First Mitchell Lic.No. 56967
Engineer's Address
Engineer's E-mail Address 6X6/sW/7
38 Technology, Ste. 100
mitch.thiessen@stanteacom
City Irvine State CA
Zip [92618 Telephone(949) 923.6293
CONTRACTOR'S NAME/COMPANY T. B. D.
Lic No. , Class
Contractor's E-mail Address yj'i(l6
Contractor's Address
City State F_
Zip F_— Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO. X -4�.o t - 0�1 Z -t
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO, _ b300 - Uk?
USE ZONE DEVELOPMENT NO
"_._ PLAN CHECK FEES $ (,tel —.03
PIS
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