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City of Newport Beach - Building Division
JR! Comm'[ [-, Residential (u ninrc c1 AN cHFrK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r Flood [- Fire f-". Liq r Landslide rN/A Floor Suite No
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883 West 15th Street
Description of Work
Use I— Const Type F
HVAC System Replacement in Existing Gym Facility
# Stories[—#Units (if Res)',
_.... f
New/Add SFFO —
22,000
Valuation $ Fs
Remodel SF 8,828 Garage/New/Add �— Material/Labor
OWNER'S NAME
Last Pacifica Christian High School First—i
E-mail Address
Owner's Address
Owner's
883 West 15th Street
Igarcia@pacificaoc.org
City Newport Beach
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'l, State CA, Zip 92663 Telephone 949-887-2070 x4
APPLICANT'S NAME
__
Last Marquardt FirstDanielle
Applicant's Address
Applicant's E-mail Address
2280 University Drive, #101
dmarquardt@nres.net
City NeBeach ! State CA Zip 92660 Telephone 714-975-7973
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AR HITECT ESIGNER'S
ME First Lic. N M3226
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ENGINEER'S NAME
Last Meet *� �D�j �% TTirst llis�rr —b Lic. N—
Engineer's Address
l a "�/A.t+1+y, VV ��Engineer's E-mail Address
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Lic. No. 812561 Class B
F F
CONTRACTOR'S NAME/COMPANY
Newport Real Estate Services, Inc.
Contractor's Address
Contractor's E-mail Addre@s '
2280 University Drive, #101
gallen@nres.net .
city (N�ewport Beach
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---,
State CA Zip 92660 Teleptiohe 949-632-0914
NO.
SETBACKS REAR
SETBACKS FRONT PERMIT
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ ✓i
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