HomeMy WebLinkAboutX2022-0797 - Permit ApplicationW ks' eet for Combo Building& Solar Permit A lication
City of Newport Beach - Building Division �/ n a y.
Ix Comm'I j Residential /�� 9
NOTE} PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jX Building Ix Grading Y Drainage Elec r— Mech i ' Plum Cu vd CutF_ Cu vd Fill `I
Project Address (Not mailing address) f_ Flood Fire f— Liq f— Landslide r_N/A Floor_ Suite No
1984 Avocado Avenue, Newport Beach, CA 92660
Description of Work
Use Const Type
y
# Stories #Units (if Res);
,/,
/� /f,*W & 4 eo 0� &d�
Valuation $ `
SF Remodel SF 1875
Garage/New/Add F
New/Add
Material/Labor
OWNER'S NAME Last IEckenstein
First Ashley
Owner's Address
Owner's E-mail Address
110 Innovation Drive
aeckenstein@irvinecompany.com
City Irvine State CA Zip92617 Telephone 949.720.2953
APPLICANT'S NAME Last rTani
First Kirk
Applicant's Address
Applicant's E-mail Address
333 El Camino Real, Studio 200
ktani@landstudio360.com
City Tustin State CA
Zip 92780 Telephone 310.528.2612
ARCHITECT/DESIGNER'S NAME Last Polen First Alex Lic. No. 4812
Architect/Designer's Address
Architect/Designer's E-mail Address
333 El Camino Real, Studio 200
apolen@landstudio360.com
City (Tustin State CA
Zip 92780 Telephone f 949.382.5811
ENGINEER'S NAME Last Ostrom
First Brandon Lic. NTF�;�
Engineer's Address
Engineer's E-mail Address'
138 Technology Drive
brandon.ostrom@stantee.com
CiryiIrvine State CA
Zip hone 949.923.6160
p 92618 Telephone
CONTRACTOR'S NAME/COMPANY /��' i
Lic. No. '�' j
�C� ' tNS Class
�/" V
Contractor's Address
Contractor's E-mail Address
City � State
Zip Telephone_
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK N 4%1" V i
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $