HomeMy WebLinkAboutX2021-0573 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division y
r Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �M
RBuilding F_ Grading
(Drainage rElec rMech rPlum Cu rd cutF Cu Yd Fill
Project Address (Not mailing address) F_ r Fire r Liq r Landslide rN/A Floor Suite No
615 62 Sea Island Dr, Newport Beach, CA 92660 F F
Description of Work
Use F__ ConstType s—
Crack repair, repair of spalling and exposed rebar at retaining walls behind units 61 and 62.
# Stories # Units (if Res)s—
Valuation $
Material/Labor 550,000
New/Add SF�
RemodelSF� Garage/New/Add �—
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
APPLICANT'S 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 F_ Lic. No.F
Architect/Designees Address
Architect/Designees E-mail Address
City
State I Zip F_ Telephoned
ENGINEER'S NAME
Last Haight First Christopher Lic. No. 54596
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
CONTRACTOR'S NAME/COMPANY Lic. No. ' p )1�5 I Class �-
Contractor's Address
Contractor's E-mail Address
City
State F— Zip F Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $