HomeMy WebLinkAboutXC2022-1925 - Permit Application:phntdForrns^': Worksheet for Combo Building & Solar Permit Application"`WPoQa
Comm I X26�2 _ M2S City of Newport Beach - Building Division
CI Resi ential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c
PIBuilding F_Grading [!Drainage gElec rFMech [FPlum Cuvdcutr--7 CuvdFill
IFIN/A
Project Address (Not mailing address) ❑ Flood r- Fire [;, Liq n Landslide Floor Suite No
62f1 NEWPORT CENTER DRIVE Bth 800
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Description of Work WI;A 'o Dvmbp J tVMtN1* OffC
Use Const Type I -A
# Stories 18 # Units (ifRes)F
POWER, LIGHTING AND FINISHES.
Valuation S [679,195
Material/Labo
New/AddSFrRemodel SF %`��j�Garage/New/Add
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OWNER'S NAME Last CHAPPELL First ALLY
Owner's Address Owner's E-mail Address
ACHAPPELL IRVINECOMPANY.COM
City - State CA Zip Telephone
APPLICANTS NAME First VANNIE
Last NGUYEN -- _
Applicant's Address Applicant's E-mail Address
18600 MACARTHUR BLVD SUITE 100 ' VNGUYEN@SAAIA.COM
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City IRVINE State CA Zip 92612 Telephone 9496083715
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ARCHITECT/DESIGNER'S NAME Last ALGAZE First NELSON Lic. No. C-21096 J
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ArchitecUDesigner's Address Architect/Designer's E-mail Address
6083 BRISTOL PARKWAY NALGAZE@SAAIA.COM
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City CULVER CITY State I CA Zip 90230 Telephone 310.553.3252
ENGINEER'S NAME Last DIRPRES First CORNELIA®j Lic. No.
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Engineer's Address Engineer's E-mail Address
16501 Scientific Way, Suite 200, Irvine CA 9261 Cornelia@pda-eng.com
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City Irvine State CA Zip 92618 Telephone (949) 594-0076
CONTRACTOR'S NAME/COMPANY �YW (7�ic. No. F y Class
Contractor's Address Contra or's E-m dress
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City j State Zip Telephone C>, �Jio�O
SETBACKS REAR SETBACKS FRONT PERMIT NO. 'y&'44z&
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $