HomeMy WebLinkAboutX2021-2276 - Permit ApplicationPrint Form ,I
X; Comm'I r', Residential
Worksheet for Combo Building & Solar Permit Applicationon
City of Newport Beach - Building Division X �J t4� t t7 f t-t'
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM
1 Hoag Drive, Newport Beach CA 92663
Pr Building r— Grading rDrainage rElec fMech r;Plum cued curl Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide SIN/A Floor
Suite No
Description of Work
REMOVE SECTION OF EXTERIOR WALL (EXISTING KNOCK -OUT PANEL) TO ALLOW FOR REMOVAL eilidielki
GANTRY SOURCE TO BE REPLACED . REPLACE SECTION OF WALL WITH
METAL STUD AND STEEL PLATE. MATCH FINISH ON INTERIOR AND EXTERIOR OF WALL.
New/Add SFIO
Remodel
Garage/New/Add IO
Use ConstType V-A
Z
Valuation $ 50,000
Material/Labor
Units (if Res)'
OWNER'S NAME
Owner's Address
Last Quiram
First 'Bill
Owner's E-mail 4ddress
116148 Sand Canyon, Suite 110
City 'Irvine
bill.quiram@hoag.org
State ICA Zip 92618 Telephone 949.355.9268
APPLICANT'S NAME
Applicant's Address
Last[Nguyen
38 Technology Drive
City 'Irvine
First [Kong
Applicant's E-mail Address
kong.nguyen@stantec.com
State ICA Zip 192618
Telephone1949.466.3874
ARCHITECT/DESIGNER'S NAME
Architect/Designer's Address
Last'Onodera
1555 Capitol Mall, Suite 650
City [Sacramento State ICA
First 'David
Architect/Designer's E-mail Address
Lic. No. IC-28964
idavid.onodera@stantec.com
Zip 195814 Telephone1916.669.5930
ENGINEER'S NAME
Engineer's Address
LastlChen
1100 California Street, Suite 1000
City San Francisco
State ICA Zip
First Yu-Ning
Engineer's E-mail Address
Lic. No IS-5706v//
yu-ning.chen@stantec.com
94111 Telephone1415.218.5428
CONTRACTOR'S NAME/COMPANY
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Contractor's Address Contractor's E-mail Address
I2363(3 RI -ar,1oY
City Ifrf1 510N Vtrr„!0,.----_
Class
State CA, Zip1q2.6q'L Telephone) 949 20l0.3o¢
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. 't j1�'� l�1(p
PLAN CHECK NO. 1 e �X 0 / O Z
PLAN CHECK FEES $