HomeMy WebLinkAboutX2021-2874 - Permit ApplicationX 2v 2,Kj
Print Form Worksheet for Combo Building & Solar Permit Application
[, Comm'I F- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r!Building ,Grading F-jDrainage ❑Elec [JMech r'-PIum Cu Yd cut20-- -,i Cu Yd Fill 20 --
Project Address (Not mailing address) C! Flood FI Fire F, Liq F7Landslide [!N/A Floor
453 NEWPORT CENTER DRIVE
of Work
New/Add SFF^, Remodel SF 10454 Garage/New/Add
OWNER'S NAME Last (IRVINE COMPANY RETAIL
Owner's Address
110 INNOVATION
City IRVINE State CA x,
First
Owner's E-mail Address
Suite No
Use F Const Type F
# Stories .. # Units (if Res) -
Material/Labor $200,000.00,
Zip 92617- Telephone 949-720 2000
APPLICANT'S NAME Last ISTANTEC / ROB HOLLAND First
Applicant's Address
38TECHNOLOGY
City IRVINE State CA
Applicant's E-mail Address
rob. holland@stantec.com
Zip 92618 Telephone 714-329-5608
ARCHITECT/DESIGNER'S NAME
Last L First i Lic. No. .
Architect/Designees Address
City State �II
Architect/Designer's E-mail Address
Zip F-7 TelephoneF1'i .
ENGINEER'S NAME Last OSTROM First BRANDON Lic. No. 67582
Engineer's Address
38TECHNOLOGY
City IRVINE State CA
CONTRACTOR'S NAME/COMPANY
Contractor's Address
Engineer's E-mail Address
Brandon. ostro m@stantec. co m
- --- -- -- --- -- -- --1---
Zip 92618 7 Telephone949-923 6160
T.B.D. DdP SER jt CES t ,,, L .
CityState LA
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
Lic. No. �N1'L�� Class.._.._(
Contractors E-mail Address 1�h I r, -2 F
Zip,- Telephone0)14).'60- 1tiS5
M WO
PERMIT NO. I 'L t1 !A -
PLAN CHECK NO. ` V I/J (Afj
PLAN CHECK FEES $