HomeMy WebLinkAboutXC2023-0389 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
r. Comm'( r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r_ Grading :Drainage r Elec r. Mech ru Yd Fill 1500 Plum Cucuvdcut 550 _
Project Address (Not mailing address) r Flood r Fire r Li9 [ Landslide r'N/A Floor Suite No
N/A N/A
13 Hillsdale Drive [NH]
Description of Work Use Com� ConstType Steel-frd
Construction o a soi vapor extraction an treatment system, consisting of a 20' x 12' x 10' #Stories #Units (if Res)
treatment system builama an unoeraround nina net��ork (aoorox 1 SOO linear ftl end Sys
extraction wells. Construction of a transformer pad and electrical conduit network �
Belcourt Terrace(approx.1,400ft)... -- Valuations
�, F
00
New/Add SF� Remodel SF Garage/New/Add 240. Material/Labor
OWNER'S NAME Last Belcourt Terrace Homeowners. Ad FirstJN/A
Owner's Address Owner's E-mail Address
Belcourt Terrace Homeowners Association karried@nbcoastal.com
City Newport Beach State CA Zip 92660 Telephone 949-506 5807
APPLICANT'S NAME Last (Miller
First IEmily
Applicant's Address Applicant's E-mail Address
555 12th Street Suite 215 emily.miller@wsp.com
City State CA Zip 94607 Telephone 510-631 7822
Oakland -
ARCHITECT/DEN/ SIGNER'S NAME Last A First N/A _ Lit. No. N/A
ArchitecUDesigner's Address Architect/Designer's E-mail Address
N/A NIA
City IN/A
ENGINEER'S NAME
Engineers Address
State N/A Zip N/A Telephone NIA.,
Last Blanchard
First Charles Lic. No. 78927
Engineer's E-mail Address
555 12th Street Suite 215 charles.blanchard@wsp.com
City Oakland State CA Zip 94607 Telephone 925-580-2754
Engineering and Environmental Construction Lic. No. 883727 Class(A
CONTRACTOR'S NAME/COMPANY
Contractor's E-mail Address
Contractor's Address
7171 Warner Avenue Suite B404 jroels@eandeconstruction.com
City Huntington Beach State CA Zip 92647 Telephone 714-897 8705
SETBACKS FRONT PERMIT NO.�Ci� ' 0�
SETBACKS REAR
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. �_
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $