HomeMy WebLinkAboutXC2022-2133 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
R Comm1 r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jX Building r Grading rDrainage r Elec
jX Mech jx Plum Cu
Address
address) F Flood r Fire r Liq r Landslide
MacArthur Court, Newport Beach 92660
Cu Yd Fill
rN/A Floor—
_ ly
Suite No
900
Description of Work
Use Office ConstType 1-A
orovemPntc incl dinn non ctrnctur I n rtition milhaor6 ding Itg�r g and n w (finishes' # Stories 15 # Units (if Res)
New/Add SFF — Remodel SF 12,851 Garage/New/Add �—
OWNER'S NAME Last
Owner's Address
111 Innovation Drive
City Irvine State CA
APPLICANT'S NAME Last
Applicant's Address
First
Owner's E-mail Address
RTO D D@ I R V I N E CO M PA N Y. C O M
abort Glo Z%S
Zip 92617 Telephone (949)720-2638
First
1301 West 2nd Street Applicant's E-mail Address
projectdox@dcexped iti ng.com
City Los Angeles State Ca
Zip 90026 Telephone 213-210-1285
ARCHITECT/DESIGNER'S NAME
Last Wong First Anthia
Lic No. �—
ArchRed/Designer's Address
Architect/Designer's E-mail Address
5 0 Montgomery Street
anthia@forge-sf.com
F
City San Francisco State CA Zip 94111 Telephone 415 544 7087
ENGINEER'S NAME Last
First �— Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City State F— Zip r—�� Telephone ---
CONTRACTOR'S NAME/COMPANY C t j ✓a r �n Lf Class Z
LWvlwwiL7fl�J� Lic. No.
Contractor's Address
Contractor's E-mail Address
City I L-O!9 State
SETBACKSREAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
,_ 70NE DEVELOPMENT NO
I W72((?,-A. Covj
Zip q Telephoner —
PERMIT NO. V "; LU 'L L - 77
PLAN CHECK NO. X CZOZZ
PLAN CHECK FEES $