HomeMy WebLinkAboutXC2022-1876 - Permit ApplicationaeW °oRr
Print Form Worksheet for Combo Building & Solar Permit Application m
City of Newport Beach - Building Division �G��
jX Comm'I F- Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL GFORN`'
Building F Grading (Drainage rx— Elec Mech F_ Plum CuvdCut l CuYdFill F
Project Address (Not mailing address) f Flood F_ Fire r Liq F- Landslide F_N/A Floor Suite No
F00
4695 MACATHUR COURT �7
Description of Work y� �l/ Use �B Const Type
TpN NT IMpROVEMENT WORK ON T/ 1,149 U S F OF THE TOTAL FLOOR AREA. NEW WAI I S. #Stories 15 # Units (if Res)r
POWER, LIGHT AND FINISHES.
Valuation $ 38,444
New/Add SF Remodel SF 1,149 Garage/New/Add F Material/Labor
OWNER'S NAME Last CHAPPELL First ALLY
Owner's Address Owner's E-mail Address
ACHAPPELL@IRVINECOMPANY.COM
City State CA Zip Fa— Telephone
APPLICANT'S NAME Last ILIANG
First ITIFFANY
Applicant's Address Applicant's E-mail Address
18600 MACARTHUR BLVD SUITE 100 TLIANG@SAAIA.COM
City IRVINE State CA Zip 92612 Telephone 9496083720
ARCHITECT/DESIGNER'S NAME Last ALGAZE First NELSON Lic. No. C-21090
Architect/Designees Address Architect/Designer's E-mail Address
f6083 BRISTOL PARKWAY FALG)�iE@SAAIXCOI�
city CULVER CITY State CA Zip 90230 Telephone 310.553.3252
ENGINEER'S NAME Last DIFirst CORNELIA
RPES
Lic. No. E14780
Engineer's Address Engineer's E-mail Address
f16501 Scientific, Suite 200 cornelia@pda-eng.com
Ciry Irvine State CA Zip 92618 Telephone 9498521491
/,/ / ( c/Z �(O 1 Class
CONTRACTOR'S NAME/COMPANY � �-1 /�ur C��S� �>? C.. Lic. No.
Contractor's Address - Contractor's E-mail Address r'
City
State F_ Zip � Telephone
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
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PLAN CHECK FEES $