HomeMy WebLinkAboutX2019-0847 - Permit ApplicationPant Form Worksheet for Combo Building AS ar Pel`rriitiApplication
FX Comm'I r Residential City of Newport Beach - Building Division XXO1Q.fJ6'4
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL nc-7r .270/(
rBuilding F- Grading
ect Address
r—Drainage l9 Elec r Mech JR Plum Cu Yd Cut Cu Yd Fill
address) f— Flood r Fire j-Liq r Landslide r— N/A Floor
80 Newport Center Drive 11
of Work
56..�Lt
IMedical office tenant improvement expansion project to an existing medical office in an
existing building
New/Add SF�� Remodel SF 2802 �JGaragee//New/Add F_
Suite No
158
,a
Use6�!ConstType -B
# Stories[2 # Units (if Res)
Valuation$ ($186,000
OWNER'S NAME Last IMadorsky First IDr. Simon I _T eft A/'
Owner's Address Owner's E-mail Address /
180 Newport Center Drive #158 smadorsky@scarscenter.com
City Newport Beach State CA Zip 92660 Telephone 949-719-1800
APPLICANT'S NAME Last
�^ Applicant's Address
2700 WestCoast Hwy. #200
City Newport Beach State CA
First Pared
Applicant's E-mail Address
ared@architectsoc.com
Zip 92663 Telephone F949-721-0730
ARCHITECT/DESIGNER'S NAME Last Saunders First Niall
Lic. No. C-26955
Architect/Designer's Address
700 West Coast Hwy. #200
City Newport Beach State CA
Architect/Designer's E-mail Address
iniall@architectsoc.com
Zip 92663 Telephone949-721-0730
ENGINEER'S NAME Last Antolin First Foseph Lic. No. F37240
Engineer's Address Engineer's E-mail Address
914 E. Katella Ave. 'antolin@peica.com
City lAnaheirn State CA Zip 92805 Telephone 714-385-1835
CONTRACTOR'S NAME/COMPANY `3f 3 UG�CYV Lic. No. Gj� classF
Contractor's Address
25r182 Carnrhp k1, ,La
City f �1zv51 IGT \4 C�O ---- State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
7w—coc, (pv16w,0C�,z4 . Co
Zip. 92( C4I Telephone`71 1 S cl...nisl
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $
4 5-_tI