HomeMy WebLinkAboutX2021-3031 - Permit ApplicationP�rnt ,Form Worksheet for Combo Building & Solar Permitrt ication 00@
City of Newport Beach -Building Comm'I F7� Residential - g Division tPI3
NOTE: PLAN CHECK FEES DUE AT TIME
fx—Building F-, Grading 17,Drainage FX-1 Elec F)Z Mech rl Plum cu Yd cut F Cu Yd Fill F
Project Address (Not mailing address) F_ Flood F��_N/A
F7 Fire F,-, Liq f.— Landslide Floor Suite No
610 Newport Center Drive 11 F777
Description of Work
Use W7 ConstType FIA-SV
# StoriesF1_8 # Units (if Res)[7
Valuation $ 672,408
Material/Labor
New/Add SFF- Remodel SF F15,282 Garage/New/Add F
OWNER'S NAME Last IThe Irvine Compnay First
Owner's Address Owners E-mail Address
1111 Innovation- Drive.,
laherzer@irvinecompany.com
City Irvine State F Zip [9Hl 49-720-2562
TelephoneFg
APPLICANT'S NAME Last JIVIontejanoi First lNelle-
Applicant's Address Applicant's E-mail Address
T1IVW inellie@jlhare.com
City I Norco State [CA Zip �986i) TelephoneF951-35i-6916
ARCHITECT/DESIGNER'S NAME Last lBrown First Russell Lic. No.F_20920
Architect/Designer's Address Architect/Designer's E-mail Address
1160 Santa Fe Drive
J
City[Denver State Co Zip [80204 Telephone 303-571-4137
ENGINEER'S NAME Last f First F Lic. No.F20920
Engineer's Address Engineer's E-mail Address
18400 Von Karman Ave., Suite 600
City Irvine State CA Zip 92612 Telephone F949-252-1022
CONTRACTOR'S NAME/COMPANY Lic. No. F_ ClassF_1
Contractor's Address Contractor's E-mail Address
City State F Zip F Telephone
F
SETBACKS REAR SETBACKS FRONT PERMIT NO. WN-1 -V I
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. vpD+.u�'i
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $