HomeMy WebLinkAboutX2021-0469 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit pppli atio"nn
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rComm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FK -Building [Grading
F -Drainage F-Elec F-Mech F-PlumCuvdCut CuvdFill F_
Project Address (Not mailing address) F_ Flood F- Fire j- Liq F- Landslide FXN/A Floor Suite No
700 NEWPORT CENTER DRIVE, FOURTH FLOOR IFOURTH I
Description of Work
Use IB Const Type 1-A
DEMOLITION OF EXISTING OFFICE
SPACE. INTERIOR FINISHES AND NON-BEARING PARTITIONS
# Stories #Units (if Res)'.
TO BRING INTERIOR BACKTO
SHELL CONDITION FOR FUTURE TENANT IMPROVEMENT
Valuation $
Material/LaborFi�/0�0
New/Add SF�—
Remodel SF 9,353 Garage/New/Add
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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
Architect/Designer's Address
Architect/Designer's E-mail Address
4770 CAMPUS DRIVE, SUITE 100 SDWYER@HHENDY.COM
City NEWPORT BEACH
State CA Zip 92660 Telephone949-851-3080
ENGINEER'S NAME
Last First 7— 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. . 0��
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK N
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $