HomeMy WebLinkAboutX2021-1207 - Permit ApplicationPrint Form - Worse t for Combo Building & Solar Permit Application ozEWPoRe
City of Newport Beach - Building Division
xr Comm] F_ Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBIMITT�AL
rBuilding F_ Grading _ rainage r-Elec F_Mech [_ Plum CuvdCut l CuYdFill F
Project Address (Not mailing address) I- Flood F. Fire F_ Liq r Landslide FN/A Floor Suite No
450 Newport Center Drive
Description of Work
New/AddSF1 Remodel SF�— Garage/New/Add
OWNER'S NAME Last kvine Company First
Use F Const Type r
# StoriesF_ # Units (if Res)F_
Valuation $ 20000
Material/Labor
Owner's Address Owner's E-mail Address
550 Newport Center Drive
City Irvine State CA Zip 92660 Telephone 949-720 2000
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
3659 Green Road Suite 214 k.moe@sure site. m
City Cleveland State OH Zip 44122 Telephone 310-903-8640
ARCHITECT/DESIGNER'S NAME Last SureSite Consulting Group FirstF Lic. No.
Address Architect/Designer's E-mail Address
3659 1. Green Road, Suite 214 k.moe@sure-site.com
City Cleveland State OH Zip 44122 Telephone 310-903 8640
ENGINEER'S NAME Last Money First Alan Lic. No. 46950
- - - - n4 Engineer's Address Engineers E-mail Address K_
2447 West 12th Street, Suite 1 1570
City Tempe State FA; Zip 85281 TelephoneF
CONTRACTOR'S NAME/COMPANY
TBD
Lic. No. I ClassF7
Contractor's Address
Contractor's E-mail Address
State F_
Zip
Telephone —
City
F—
SETBACKS REAR SETBACKS FRONT PERMIT NO. (A-14�
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $�