HomeMy WebLinkAboutX2022-0386 - Permit ApplicationPint Form Worksheet for Combo Building & Solar Permit Application ozEW�?ra
rx Comml F Residential City of Newport Beach - Building Division R p
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(it Building I— Grading (—Drainage r Elec r Mech j— plum j�
Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing addre F Flood j Fire r Liq F_ Landslide [_N/A Floor Suite No
450 Newport Center Drive I` 220
7
of Work
into adjacent suite.
New/Add SFF— Remodel SF 2,543 Garage/New/Add F—
OWNER'S NAME Last
Owner's Address
Irvine Co. Office Properties, 111 Innovation
City Irvine State CA
First
Use I" ConstType II-B
# Storiesl6 # Units (if Res)F—
Valuation $
Fs89,000
Material/Labor
Owner's E-mail Address
achappell@irvinecompany.com
Zip 92617 Telephone 949.720.2156
APPLICANT'S NAME Last Raska
First Jordan
Applicant's Address
Applicant's E-mail Address
H Hendy Associates, 4770 Campus Dr, Ste 100
jraska@hhendy.com
City Newport Beach State CA Zip 92660 Telephone 949.851. 0080
ARCHITECT/DESIGNER'S NAME
Last Dwyer First Susan
Lic. No. C-33724
Architect/Designer's Address Architect/Designer's E-mail Address FH Hendy Associates, 4770 Campus Dr, Ste 100
ska@hhendy.com
City Newport Beach State CA Zip 92660 Telephone 949.851.3080
ENGINEER'S NAME Last Dirpes
First Cornelia Lic.
Engineer's Address Engineer's E-mail Address
Pasco, Dirpes &Assoc., Inc., 5430 Trabuco Rd, Ste 100
come
o r n e l i a@ p d a-e n g. co m
City Irvine State CA Zip 92620 Telephone 949.852.1491
CONTRACTOR'S NAME/COMPANY TBD
Lic No. F— Class
Contractor's Address _. Contractor's E-mail Address
City I State F_ZiP F_ Telephone
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO. Ywq-&,OJQty
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $