HomeMy WebLinkAboutX2021-2067 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
TXT Comm'I F_ Residential City of Newport Beach - Building Division /v�Z1 ,�Gb�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITI"gL
FX -Building F_Grading @"'Drainage F7Elec F_Mech r-plumCu ydCut
F_ CuvdFill F
Project Address (Not mailing address) F-!. Flood F- Fire F- Liq F_.: Landslide r'N/A Floor Suite No
I.50 NEWPORT CENTER DRIVE - PACIFIC MERCANTILE BANK _549 2nd 2504111111119--1
Description of Work ��..
Use I`" Const Type II B
# Stories # Units (if Res)
New/Add SFRemodelRemodel SF50 g
Gara a/New/Add i
OWNER'S NAME Last
Owner's Address
Owner's E-mail Address
620 NEWPORT CENTER DRIVE AJELVEH
City NEWPORT BEACH --1 State CA Zip 82660 Telephone 949-729-1473
First
Valuation $ 5,000
Material/Labor -- --- -- ----
APPLICANT'S NAME Last H. HENDY ASSOCIATES
Applicant's Address
4770 CAMPUS DRIVE, SUITE 100
City NEWPORT BEACH State CA
First IVAN-ANH VAN
Applicant's E-mail Address
WAN@HHENDY.COM
Zip 92660 Telephone 949-851-3080
ARCHITECT/DESIGNER'S NAME Last DWYER First SUSAN
Architect/Designer's Address
4770 CAMPUS DRIVE, SUITE 100
City NEWPORT BEACH State CA
Lic. No. C-33724
Architect/Designer's E-mail Address
SDWYER@HHENDY.COM
Zip 92660 Telephone 949-851-3080
ENGINEER'S NAME Last First Lic. No.
Engineer's Address
City I _ ! State
Engineer's E-mail Address
Zip Telephoned
CONTRACTOR'S NAME/COMPANY JORDAN GRIFFIN / CMD CONSTRUCTIONS Lic. No. 981 Class'
Contractor's Address
9272 JERONIMO RD., STE. 102
I
City IRVINE State CA
Contractor's E-mail Address
JORDAN@CMDCONSTRUCTIONINC.COM
Zip 92618 I Telephone 949-413-0777
SETBACKS REAR SETBACKS FRONT��'Z` — !J vo.,J `7
PERMIT NO. v rJ
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1-71q'S : ZZ
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Is, 10P4 1 -C7