HomeMy WebLinkAboutX2019-1617 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
j— Comm'I j—', Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(X Building j—', Grading rDrainage FX_ (X Mech r':-.. Plum Cu Yd Cut ; Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire F Liq f—, Landslide N/A Floor Suite No
16 600
610 Newport Center Ste 600
Description of Work
Use Const Type 1-ASpr
/��y�'�^
I"G X�CV/l./'1 I
_
#Stories18 #Units (if Res)'.
New/Add SFF— Remodel SF 15,216
Garage/New/Add
Valuation$ /�W
Material/Labor
OWNER'S NAME Last Irvine Company
First Autumn Herzer
Owner's Address
Owner's E-mail Address
111 Innovation Drive
aherzer@irvinecompany.com
City Irvine State CA
Zip 92617 Telephone 949-395-1829
APPLICANT'S NAME Last Montejano.. _..
__.. First FNellie
Applicant's Address
Applicant's E-mail Address
4740 Green River Rd #102
nellie@jlhare.com
City Corona State CA
Zip 92880 Telephone 95l-�357-6916
ARCHITECT/DESIGNER'S NAME Las et 1'Vryr
t _ FRSh^.yam-iRSgfY Lic No.—��..
Architect/Designer's Address
Architect/Designer's E-mail Address
1160 Santa Fe Drive
mksunset@semplebrown.com
City Denver State CO
Zip 80204 Telephone 303-571-0403
ENGINEER'S NAME Last Krehbiel.
First Tyler Lic. No.�
Engineer's Address
Engineer's E-mail Address
18400 Von Karman Ave Ste 600
tyler.krehbiel@kpff.com
Cit Irvine State CA
y
2612 Tele hone 9 492521022 x271
ZipF92612 p
USCONTRACTOR'S NAME/COMPANY _ �^3_7,t c -� 5.. Lic No. 0_70 Class ,
Contractor's Address
Contractor's E-mail Address
1 990//�t/t Geri ¢ice D2
City l/2tJ1 yu _... State I '�"
Zip _... �r! 4.. Telephone 1U( - 6aq� --7f�,o
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ) %r t l(ao
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $