HomeMy WebLinkAboutX2021-0465 - Permit ApplicationY2021 �5
;.: nnf Form Worksheet for Combo Building & Solar Permit Applic tioLI (P
r Comm'I r Residential City of Newport Beach - Building Division 011!
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
fK—Building r Grading rDrainage F_ Elec
Address
rMech r Plum CuvdCut F_ Cu Yd Fill
r Flood r Fire F_ Liq r Landslide r'N/A I
NEWPORT CENTER DRIVE; F LOOR
of Work
BRING INTERIOR BACK TO SHELL CONDITION FOR FUTURE TENANT IMPROVEMENT
New/Add SFF Remodel SF r1,543 Garage/New/Add
OWNER'S NAME Last IBALFOUR
First SARAH
or Suite No
I
IUse IB Const Type 1-A
# Stories # U(if R s)[—
Valuation $ �.
Material/LabJ�j
or
Owner's Address
- - - - d
700 NEWPORT CENTER DRIVE
Owners E-mail Address
SARAH. BALFOUR@PACIFICLIFE.COM
City NEWPORT BEACH
State CA
Zip 92660. Telephone949-219-3011
APPLICANT'SNAME Last
H.HENDYASSOCIATES First
ADEY ANTHONY
Applicant's Address
Applicant's E-mail Address
4770 CAMPUS DRIVE, SUITE 100
AANTHONY@HHENDY.COM
City NEWPORT BEACH
StateCA Zip 92660 Telephone 949-851-3080
ARCHITECT/DESIGNER'S NAME
Last DWYER SUSAN
ArchitectlDesigner's Address
.First Lic. No. C-33724
4770 CAMPUS DRIVE, SUITE 100
Architect/Designer's E-mail Address
SDWYER@HHENDY.COM
City NEWPORT BEACH
StateCA
Zip
92660 Telephone 949-851-3080
ENGINEER'S NAME Last
First �— Lic. No.F —
Engineer's Address Engineer's E-mail Address
City - - -... State ZIP �— Telephoned-- -.
CONTRACTOR'S NAME/COMPANY
'lLG/ate-u7g�/ �v Lic. No. (f Class
Contractor's Address Contractor's E-mail Address
��� �i✓v��i�i✓Lf v4 �vrE, �3Jc5� /�//
Cl vh f State�— Zip ��5e/7 Telephone
SETBACKS REAR SETBACKS FRONT PERMIT Nr '� 1 , ®�
SETBACKS LEFT SETBACKS RIGHT
Wr
USE ZONE n PLAN CHECK NO.
DEVELOPMENT NCPLAN CHECK FEES $
-e511wv- LP