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HomeMy WebLinkAboutX2021-2874 - Permit Application (2)X 2v ?_m,%jy Print For Worksheet for Combo Building & Solar Permit Application ���� °R [I Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �,,,�.�' F -Building [,I Grading f7Drainage [IElec F-Mech x Plum Cuvdcuc 20 cu Yd Fill 20-- _ _ Project Address (Not mailing address) ❑ Flood ❑ Fire F -,i Liq ❑ Landslide ❑N/A Floor Suite No 453 NEWPORT CENTER DRIVE �I Description of Work Use Const Type # Stories #Units (if Res)[7 r— SITE IMPROVEMENTS- UTILITIES RELOCATION AND LANDSCAPE FOR NEW PATIO AND PATIO COVER _j (per separate permit) Valuation $ F$20O,000.00 Material/Labor New/Add SFT: Remodel SFF-----7454 Garage/New/Add �I OWNER'S NAME Last IRVINE COMPANY RETAIL First Owner's Address Owner's E-mail Address 110 INNOVATION City IRVINE - II State CA '=' ' Zip 92617 Telephone949-720-2000 APPLICANT'S NAME Last STANTEC / ROB HOLLAND First Applicant's Address Applicant's E-mail Address 38 TECHNOLOGY — — - — --- rob.holland@stantec.com CityIRVINE State CA Zip 92618 i Telephone 714-329 5608 ARCHITECT/DESIGNER'S NAME Last _ _. First F---7� Lic. No. �II Architect/Designer's Address Architect/Designer's E-mail Address City .I, State Zip Telephone; ENGINEER'S NAME Last OSTROM First BRANDON Lic. No.67582 Engineer's Address Engineer's E-mail Address 38 TECHNOLOGY brandon.ostrom@stantec.com City IRVINE State ICA Zip 92618 Telephone949-923-6160 CONTRACTOR'S NAME/COMPANY T.B.D. k,,FtaSL-R-VttLLic. No. 7h1�t.ol Class iNI Contractor's Address Contractor's E-mail Address bD r �b� E; A. 'A, S3 �o.,.nESI� ��'ta C.oNT12I�c-T�tvc9.(,0� City -. State Lra Zip 17 )_'�'gD �2�1 Telephone '�).n SETBACKS REAR y 9 I SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 11 TU USE ZONE (VN DEVELOPMENT NO PLAN CHECK FEES $ MW