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HomeMy WebLinkAboutX2021-1578 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 4 [I Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL RBuiIding r;Grading [IDrainage EX, FXMech Ix Plum CuYdcut11,610 CuYdFill ,350 Project Address (Not mailing address) ❑ Flood r Fire [i Liq F— Landslide ❑N/A Floor Suite No 443 Pacific View Drive �I Description of Work Construction of 2-story MPR & 1-story gymnasium building. New/Add SF 179,903 Remodel SF �— I Garage/New/Add OWNER'S NAME Last lEvans i First Use F-I Const Type II-B # Stories[71 # Units (if Res)E j Valuation $ $20,347,000.00 — Material/Labor Owner's Address Owner's E-mail Address 3443 Pacific View Drive City Corona Del Mar State CA Zip 2625 Telephone 49-640-1410 x20Ej APPLICANT'S NAME Last Babic First Niko Applicant's Address 5301 California Ave, #100 City Irvine State CA Applicant's E-mail Address inbabic@lpadesignstudlos.com Zip 2617 Telephone 49-701-4050 ARCHITECT/DESIGNER'S NAME Last I EAVES First Lic. No. C-ZS4rDZ ,, Architect/Designer's Address 9;301 cAwb% IA. At1E Ida City LirVir State ArchitecUDesigner's E-mail Address DEAV ES @ 1..QADEtI61J STUD 1Q1. co M Zip Telephone'1gA-'LL0l-1opl ENGINEER'S NAME Last i First I Lic. No.L_ Engineer's Address Engineer's E-mail Address I. I I City State Zip �� Telephoned —I CONTRACTOR'S NAMEXOMPANY vm cons c-f Gn Lic. No. I D83 �l� Class Contractor's Address f�-5U YZizrn,hs �Ivc(, I City I Red L, e© d C'i.t1 - State CA Contractor's E-mail Address :hGrytC der. CVgl Zip Telephone q:49 524� I�24't SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. J(()1()V 1 PLAN CHECK NO. I ISE ZONE DEVELOPMENT NO ZIO I '04 � 1 PLAN CHECK FEES $