HomeMy WebLinkAboutX2022-1274 - Permit Application (3)Print Form _ j Worksheet for Combo Building & Solar Permit Application
x Comm'I r Residential City of Newport Beach - Building Division X 2 o n,' 2jq
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL
Building [ Grading
F--Drainage rElec F_ Mech j— Plum Cu vd Cut Cu Vd Fill F
Project Address (Not mailing address) C Flood Fire F Liq r Landslide ITN/A Floor Suite No
450 Newport Center Drive 4th o
Description of Work
Use ConstType it-B
# Stories # Units (if Resf
II
�br
hV
.
Valuation $ 2p
Material/Labor J 1000
New/Add SF F_
Remodel SF 100 Garage/New/Add F
OWNER'S NAME
Last Chappell First Ally
Owner's Address
Owner's E-mail Address
111 Innovation Drive
achappell@irvinecompany.com
City Irvine
State CA Zip 92617 Telephone F949.720.2156
APPLICANT'S NAME
Last Eight First Symmetry
Applicant's Address
Applicant's E-mail Address
18627 Brookhurst St #618
city@symmetry8.com
City Fountain Valley
State CA Zip 92708 Telephone 714.591.8388
ARCHITECT/DESIGNER'S NAME Last Walton First Jennifer F—
Lic. No. C-33627
Architect/Designer's Address
Architect/Designer's E-mail Address
18627 Brookhurst St #618
jwalton@symmetry8.com
City Fountain Valley
State CA Zip 92708 Telephone 714.591.8388
ENGINEER'S NAME
Last .First F— Lic. Nof—
Engineer's Address
Engineer's E-mail Address
City
State 1-7-- Zip F Telephoned
CONTRACTOR'S NAMElCOMPANY / /' O of or l i rcLic. No. G�� _Pas- Class
tw
Contractor's Address
Contra/ctor's E-mail Address
i� `�V
wq/� ^c o\
-tlik rl
City 1V�
State Zip "IV C i J Telephone �5-gss - eq ot,
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 1 I rJ i� 2z
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $