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HomeMy WebLinkAboutX2021-3163 - Permit ApplicationPnr;t Form Worksheet for Combo Building & Solar Permi Application ;��"°° Comm'I r Residential City of Newport Beach - Building Division 2021 3' « NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL G.,.ow." PMilding r Grading [7Drainage rlec Mech F7 Plum CuvdCut F77 Cu Yd Fill F7li Project Address (Not mailing address) r7 Flood r Fire [ Uq F Landslide r -N/A Floor Suite No 7062 IRVINE AVE Description of Work Use !B Const Type V -B Demolqshexist'nonon-bear'nqwalig.ce4lng plumbing fixtures. lighting HVACequipmentand prep suite for new tenant. Provide new 2 HVAC units in existing mechanical yard. # StoriesT_ # Units (if Res) ', Valuation 5 9 $100,000 New/Add SF � Remodel SF 3737 Gara a/New/Add �' Material/Labor OWNER'S NAME last BALDWIN i FirstCOLLIN Owner's Address Owner's E-mail Address 110 INNOVATION cbaldwin@irvinecompany.com - — - - City IRVINE State CA Zip 92617 Telephone 949 720 2786 APPLICANT'S NAME Last KENSEY First LISA Applicant's Address Applicant's E-mail Address 1590 South Coast Hwy Suite 18 Lkensey@bbarchitects.com 494 8093 - -- _ City Laguna Beach State CA Zip Telephone 949 ARCHITECT/DESIGNER'S NAME Last Ballard First FOnna Olsen _-_ Lic. No. Ci2942 Architect/Designer's Address Architect/Designer's E-mail Address 1590 South Coast Hwy Suite 18 d.olsen@bbarchitects.com City Laguna Beach j State CA Zip 92651 Telephone 949-494-8093 - — — -- ENGINEERS NAME Last MAESTAS — j First DAVID Lic. No. 6773 Engineer's Address Engineer's E-mail Address 9915 MIRA MESA BIL DV. SUITE 200 DMaestas@wrengineers.com City SAN DIEGO State (CA� Zip 921 858-5 31 Telephone 36-5166 I CONTRACTOR'S NAME/COMPANY Lic. No. Class! Contractor's Address Contractor's E-mail Address City State Zip Telephoned `I SETBACKS REAR SETBACKS FRONT PERMIT NO. vI q SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 033, T%nl USE ZONE DEVELOPMENT NO PLAN CHECK FEES $