HomeMy WebLinkAboutX2019-0942 - Permit Application1. Print Form Worksheet for Combo4uilding & Sole3e+rt t Application ON
rl Comm'I F_ Residential City of Newport Beach. - Building Division o6�17_.21qNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Y2O/q_agg2
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Project Address (Not mailing address) FI Flood r! Fire F Liq rj Landslide [N/A Floor Suite No
563 Newport Center Drive—
563 J
Description of Work
Use FRetafi Const TypeIIII-A
V-()
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# Stories # Units (if Res)FI;
enant remodel of existing retall space.
Valuation $
New/Add SFF— Remodel SF 2,298 Garage/New/Add �I,
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Material/Labor
360,000 -__--
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OWNER'S NAME Last Sands
First Larry
Owner's Address
Owner's E-mail Address
2920 Red Hill Ave
- -
larrydsands@gmail.com
; City Costa Mesa li State CA..
-P - --
� Tele hone �
Zi 92626 I
APPLICANT'S NAME Last Jake
First Schopp
Applicant's Address
Applicant's E-mail Address
506 Grand Blvd
jschopp@icon-architecture.com
City Kansas City State MO
Zip 64106 Telephone 8162210250
ARCHITECT/DESIGNER'S NAME Last Lichty First James Lic. No.j
Architect/Designer's Address.
Architect/Designer's E-mail Address
8010 State Line Rd
jalichty@adgiaia.com
City Leawood State KS
--- -- — -
Zip 66208 Telephone 913-341-2356
ENGINEER'S NAME Last Dyer
First Jim Lic. No.
Engineer's Address
Engineer's E-mail Address
8891 Research Drive
iim.dyer@jsdyer.com
City Irvine State CA
Zip 92618 Telephone9492960766
CONTRACTOR'S NAME/COMPANY Renew Enterprises
Lic No.1�166 Class',
Contractor's Address
Contractor's E-mail Address
12952 Seaboard Circle
jenny@renewenterprises.com
City Garden Grove State CA
Zip 92843 Telephone 7145540131
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. D(p t(,'rg01 C,
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
?T610 X13u, 3�-)Z.3,0 £viocc) llachNel131