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HomeMy WebLinkAboutX2019-1583 - Permit ApplicationX 201 V;6 ",) Pant Form ! Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division �'. Comm'I r1 Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL riBuilding [I Grading ❑Drainage E Elec r Mech F Plum cuvdCut l— Cu Yd Fill f j Project Address (Not mailing address) ❑Flood r -Fire r7 Liq r7Landslide [IN/A Floor Suite No 1thFL _-- 120 Newport Center Dr Description of Work IV1 1 Use Const Type Type 1 Minor Interior Renovation of 2 Offices and 1 Confer ce Room consisting of wall construction, • I_._..__ 1� # StoriesF7 # Units (if Res)[, new ceilings, new electrical, relocated light fixtures, furniture and new finishings. 0 Valuation $ New/Add SF�' Remodel SF 544 Garage/New/Add Material/Labor OWNER'S NAME Last hardy I Firstiffany Owner's Address City State APPLICANT'S NAME Last Applicant's Address 3400 Riverside Dr #202 City herman Oaks State A Owner's E-mail Address iffany_hardy@am.jll.com Zip 1 , Telephonep19 929 4133 First Applicant's E-mail Address Gayton@permitplace.com -- Zip 1423 Telephone 18 573 2484 - ARCHITECT/DESIGNER'S NAME Last ettle J, First hilip Lic. No. -10316 —J ArchitectlDesigner's Address 100 Wilshire Blvd City os Angeles State— Architect/Designer's E-mail Address guzy@nelsonww.com —� Zip 0048 J Telephone 04 774 4890 ENGINEER'S NAME Last i First - ! Lic. No.�-1 Engineer's Address City ----- - — State C Engineer's E-mail Address ZipI I Telephone CONTRACTOR'S NAME/COMPANY /� Lic. No. 2W7U-61 Clas, F -8 - Contractor's Address City a State a F% i.y_`je i Contractor's ---- E-mail Address Zip idWO Telephone --- REAR SETBACKS FRONT PERMIT NO. ld1 • liJU' 'T SETBACKS RIGHT PLAN CHECKNO. I .�('k DEVELOPMENT NO PLAN CHECK FEES $ _ t