HomeMy WebLinkAboutX2022-0036 - Permit Applicationk M2-1, ' 002)LP
Print Form Worksheet for Combo Building & Solar Permit Application o `tr°°Rrm
F— Comm'I I— Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j—'Building r—Grading 7Drainage rElec j—,Mech rl,Plum Cu YdCut� Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
453 NEWPORT CENTER DRIVE-
Description of Work
Use F Const Type F
# Stories, #Units (if Res)
SEWER IMPROVEMENT PLANS TO RELOCATE SEWER LATERAL GREASE WASTE LINES AND NEW
GREASE INTERCEPTORS TO SERVICE EXISTING BUILDING
Valuation $
New/Add SF�— Remodel SFGarage/New/Add
108,000
Material/Labor
OWNER'S NAME Last IRVINE COMPANY RETAIL First
Owner's Address Owner's E-mail Address
110 INNOVATION
City IRVINE State CAZip 92617 „ Telephone 949-720-2000
APPLICANT'S NAME Last STANTEC / ROB HOLLAND First
Applicant's Address Applicant's E-mail Address
38 TECHNOLOGY, SUITE 200 rob.holland@stantec.com
City IRVINE State CA Zip 92618 Telephone714-329-5608
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. F_
Architect/Designer's Address Architect/Designer's E-mail Address
City _ - State Zip Telephone
ENGINEER'S NAME Last OSTROM First BRANDON Lic. No. 67582
Engineer's Address Engineer's E-mail Address
38 TECHNOLOGY, SUITE 200 brandon.ostrom@stantec.com
City IRVINE State CA Zip 92618 Telephone 949-923-6160
CONTRACTOR'S NAME/COMPANY TBD ', Lic No. FJqZ3tQ Class
F
Contractor's Address Contractor's E-mail Address
City _ State F Zip Telephoned,
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.C"i.� L 2
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
,