HomeMy WebLinkAboutX2019-2092 - Permit Applicationrt o Worksheet for Combo Building & Solar Permit Application
SOL,%� City of Newport Beach - Building Divisionr Comm'I r Resident�51 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading
rainage jX Elec rMech j Plum Cu YdCut F Cu Yd Fill
Project Address (Not mailing address) I_ Flood r Fire r Liq j— Landslide f N/A Floor Suite No
21101-21185 Newport Coast Dr. ('tilt , F— F_
Description of Work
Use F—Const Type
REPLACING (1) EXISTING 25KW EV CHARGING STATION WITH 62.5 KW EV CHARGING STATION
AND UPGRADING STP6IL 61R.AL
P.A.D. ADDITION OF (1) N€W 623104 €V CHARGING 4ATinn�,o,�
#Stories #Units (if Res)
AND STRUCTURAL PAD. ADDITION
OF (1) NEW 200AMP PANEL AND METER.
Valuation $ 30,000.00
Material/Labor
New/AddSFF
Remodel SFr—_ Garage/New/Add��
OWNER'S NAME
Last IWENTWORTH First MIKE (IRVINE CO.)
Owner's Address
Owner's E-mail Address
110 INNOVATION
MWENTWOTH@IRVINECOMPANY.COM
City IRVINE
State CA Zip 92617 Telephone9497203116
APPLICANT'S NAME
Last BLAZER First CHRISTA
Applicant's Address
Applicant's E-mail Address
2301 DUPONT DRIVE #150
CBLAZER@LINWOODENGINEERING.COM
City IRVINE
State CA Zip 92612 Telephone7144240001
ARCHITECT/DESIGNER'S NAME Last ITIJAZON First FNGELLic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
2301 DUPONT DRIVE #150 TUAZON@LINWOODENGINERING.COM
City IRVINE
State CA Zip 92612 Telephone F7144240001
ENGINEER'S NAME
Last FR Fir
Engineer's Address'
gineer's E -E- i� VlC
2301 DUPONT DRIVE #150
RHATCH@LINWOODENGINEERING.COM
City IRVINE
State CA Zip 92612 Telephone 7144240001
CONTRACTOR'S NAME/COMPANY C / , _e IC Lic. No. �g Class F_
�G
Contractor's Address
Contractor's E-mail Address
Wl _C, Lu'? 0; 0� � l� Uis �/ cel
City Allakt State Zip
l
Telephone7(Y_��rr �)
l�
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. �.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $