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HomeMy WebLinkAboutF2020-0152 - Permit Application."a,Int� Worksheet for Comfs it & I s er it Application jX Comm'I Residential City of po each wilding Division{ m NOTE: PLAN CHECK FEES DUE AT TIME ()F RI IRMITTAI `�) FBuilding F_Grading F—Drainage r: Elec Mech ry Plum Cu rd Cut Cu Yd Filll Project Address (Not mailing address) r7 Flood r Fire Fl Liq r Landslide F_N/A Floor Suite No 20331 Irvine Ave, Newport Beach, CA. 92660 ! Description of Work Use Const Type T7 Install Medical Gas and Vacuum � � System to Surgery Center ,Y a� # StoriesF1 # Units (if Res)j New/Add SFr Remodel SF F I e/New /Add Materia ; Valuatiol/Lan 5 bor 32,000.00 Garag OWNER'S NAME Lastnton First Mark Owner's Address 20331 Irvine Ave E6 Owner's E-mail Address -- — markanton@me.com City Newport Beach State CA Zip 92660 Telephone (714)330-0096 APPLICANT'S NAME Last Hodge First Chris Applicant's Address _ Applicant's E-mail Address 6527 lg Springs Rd. biomed u inc 9 Y @gmail.com City [Lake Isabella _ Zip 3240 Telephone(661)331-4935 i ARCHMECT/DESIGNER'S NAME —`CA lState l �9 Lic. No. F_.__.. Lash n First' ` Architect/Designer's Address Architect/Designer's E-mail Address 270 Elderberry St y� ason@jccdes[gn.com City La Verne 750 State CA Zip 91Telephone (909)969-4747 ENGINEER'S NAME Last First F - LijNovEngineer's Address Engineer's E-mail Address City (��State Zip Telephonej CONTRACTOR'S NAME/COMPANY RX Plping Lic. No.41435 Cl 36 Contractor's Address Contractor's E-mail Address 8309 Laurel Canyon Blvd., Ste. 153 rxpiping@Venzon.net ity Sun Valley CA (818)749-1788 State Zip 91352 Telephone ETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. �. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $