HomeMy WebLinkAboutX2019-0798 - Permit ApplicationPrint Form Wor heet for Combo Building & Solar Permit Application o4
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FX_ Comm'] r Residential (6" City of Newport Beach -Building Division j(Zo I N - 07Qd�
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r Flood r- Fire r U rN/A Floor Suite No
1605 Avocado Ave.
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Description of Work
Use FB— ConstType III -B
Minor medical office tenant improve ent to an existin Vlaging cen er. Addition of 1 unisex
# StoriesF # Units (if Res)
restroom and 1 MRI.
New/Add SF
Remodel SF 068'+] Garage/New/Add
Valuation $ F188,000
Material/Labor
OWNER'S NAME
Last Newport Diagnostic Center First
Owner's Address
Owner's E-mail Address -
1605 Avocado Ave.
K.Wortham@newportdiagnosticcenter.com
City Newport Beach
State CA Zip 92660 Telephone 949-467-3114
APPLICANT'S NAME Last Dudley First ared
Applicant's Address VF'%�
Applicant's E-mail Address
2700 West coast Hwy. #200
ared@architectsoc.com
City Newport Beach
State CA Zip 92663 Telephone949-721-0730
ARCHITECT/DESIGNER'S NAME Last Saunders First Niall Lic. No. C-26955
Architect/Designer's Address
Architect/Designer's E-mail Address
700 West Coast Hwy. #200 niall@architectsoc.com
City Newport Beach
State CA Zip 92663 Telephone 949-721-0730
ENGINEER'S NAME
L Fir eph_'/ Lic.%Ne }i -24B— —
Engineer's Address
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C'�CJ� " i
Engineer's E-mail Address
914 E. Katella Ave.
'antolin@peica.com
City Anaheim
State CA Zip 92805 Telephone714-385-1835
CONTRACTOR'S NAME/COMPANY
lC lel �f�Zl)C Il Lic. No. oS3c� Class��
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Contractor's Address
Contractor's E-mail Address
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City vt�SDa ti] Iy:.V�'l� State I � Zip ( '7 7 Telephone Fqq 444.473+
SETBACKS REAR
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SETBACKS FRONT PERMIT NO. LLA
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK N R�
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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