HomeMy WebLinkAboutX2021-0572 - Permit ApplicationPrint Form j Worksheet for Combo Building & Solar Permit Application04W
F- Comm'I F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
DZBuilding r Grading
j—Drainage r Elec (—Meth r Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) F— Flood F— Fire F— Liq F— Landslide F-N/A Floor Suite No
445 45 Sea Island Dr, Newport Beach, CA 92660 F
Description of Work
use F Const Type ( —
Replacement of water damaged wood framing members, crack repair, seismic restraint and
in
Stories # Units (if Res)[_
two concrete bearn
to column connections underground parking garage.#
New/Add SFF—
Remodel SF Garage/New/Add F—
Valuation $ Fsi00000
Material/Labor
OWNER'S NAME
Last Sea Island Community Associatior First
Owner's Address
Owner's E-mail Address
16775 Von Karman Ave, Suite 100 rramstack@keystonepacific.com
City Irvine
State CA Zip 92606 Telephone (949) 838-3286
APPLICANTS NAME
Last Poucher First Tyler
Applicant's Address
Applicant's E-mail Address
1401 Dove St, Suite 240
tyler.poucher@coffman.com
City Irvine
State CA Zip 92660 Telephone (949) 335-6151
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F_ Telephoned
ENGINEER'S NAME
Last Haight First Christopher Lic. No. S4596
Engineer's Address
Engineer's E-mail Address
1401 Dove St, Suite 240
christopher.haight@coffman.com
City Irvine
State CA Zip 92660 Telephone (949) 517-0651
CONTRACrOR'SNAME/COMPANY Lic. No. IUII51� Class F_
Contractor's Address
Contractor's E-mail Address
City
State F— Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. �U.�l
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $