HomeMy WebLinkAboutX2021-0466 - Permit ApplicationXU71-o4VU
Prin: Form ` Worksheet for Combo Building & Solar Permit Application
r Comm'I [ Residential City of Newport Beach - Building Division o s
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G..oa�•'
FX—Building rGrading
F—Drainage rElec rMech r. Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire F- Liq r Landslide rN/A Floor Suite No
700 NEWPORT CENTER DRIVE, FIRST FLOOR FIRST F'
Description of Work
Use I" Const Type 1-A
#Stories URes)�
v
DEMOLITION OF EXISTING OFFICE SPACE INTERIOR FINISHES AND NON-BEARING PARTITIONS
TO BRING INTERIOR BACK TO
SHELL CONDITION FOR FUTURE TENANT IMPROVEMENT
Valuation
New/Add SF F_
4
Remodel SF ,778 Garage/New/Add
Material/Labor 10,
OWNER'S NAME
Last BALFOUR First SARAH
Owner's Address
Owner's E-mail Address
700 NEWPORT CENTER
DRIVE SARAH.BALFOUR@PACIFICLIFE.COM
Ciry NEWPORT BEACH
State CA Zip 92660 Telephone 949-219-3011
APPLICANT'S NAME
Last H. HENDY ASSOCIATES First ADEYANTHONY
Applicant's Address
Applicant's E-mail Address
4770 CAMPUS DRIVE, SUITE 100 AANTHONY@HHENDY.COM
City NEWPORT BEACH
State CA Zip 92660 Telephone 949-851-3080
ARCHITECT/DESIGNER'S NAME Last DWYER First SUSAN Lic. No. C-33724
Architect/Designer's Address
Architect/Designer's E-mail Address
4770 CAMPUS DRIVE, SUITE
100 SDWYER@HHENDY.COM
City NEWPORT BEACH
State CA Zip 92660 Telephone 949-851-3080
ENGINEER'S NAME
Last First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F Zip F Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. I ClassF_
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip F_ Telephoned'
SETBACKS REAR
SETBACKS FRONT PERMIT NO. _
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $