HomeMy WebLinkAboutX2018-3883 - Permit ApplicationPrint Form lor"et for Combo Br�pding & SOlar Permit Application 0- j
F_ Comm'I >< Residential / City of Newport Beach - Building Division
1 NOTE: PLAN CHECK FEE§ DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) F_ Flood Fire F_ Liq F_ Landslide f N/A Floor Suite No
Description of Work
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Removal of the existing restroom/shower/poequipment building plus removal of the laundry
# Stories 1 # Units (if Res
equipment building including new finishes, lights, exhaust and plumbing. Iso coristr w
-- Valu 110,000.00
New/Add SF 810 Remodel SF Garage/ ew/Add ej�A bor.__
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OWNER'S NAME Last Jugant - Irvine Company
Firsf AID
Owner's Address
is E-mail a�
550 Newport Center Drive, 4th Floor
ajugant@irvin any.cor'$
City Newport Beach State CA
Zip 92660 Telephone 9 - -3210
APPLICANTS NAME Last Perez
First Irene
Applicant's Address
Applicant's E-mail Address
3195 B Airport Loop Drive
irene.0677@yahoo.com
City Costa Mesa State CA
Zip 92626 Telephone (714) 261-5094
ARCHITECT/DESIGNER'S NAME Last Robinson First Michael Lic. No. C-20731
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
3195 B Airport Loop Drive
robinson@rhainc.net
City Costa Mesa State CA
Zip 92626 Telephone 714-826-8888
ENGINEER'S NAME Last Christian
First Dale Lic. No. 2705
9�
' En ineers Address
Engineer's E-mail Address
1744 West Katella Avenue, Suite 107
Joshue Suarez <JSuarez@dalechdstian.com>
City Orange State CA
Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAMg/COMPANY Not Selected
Lic. No. F Class
Contractor's Address
Contractors E-mail Address
City � State F_
Zip F_ Telephoned
SETBACKS REAR SETBACK$ FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK {_ e 66-
USE ZONE DEVELOPMENT NO
PLAN CHECK Fttr _