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Project Address (Not mailing address) F Flood [ Fire [ Liq [1, Landslide FN/A Floor Suite o
500 SUPERIOR AVE, NEWPORT BEACH, CA f�C� I- 210
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Description of Work
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1 v� Ci
U B Const Type*Res]
Tenant improvement to existing suite 210 to include an exam room, consultation room, laba
#Stores 3# Units (if
oo a a s a e
a
3 new convenience power outlets.
Valuation $ 50,000
Material/Labor
III
New/Add SF ,5rt6
Remodel SF 2,516 Garage/New/Add F0 �_j
OWNER'S NAME
Last Schack J First Jake
Owners Address
Owner's E-mail Address
520 Superior Avenue, Suite 265 _ jschack@calcomm.org
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City Newport Beach_ State CA Zip 92663 1Telephone 949-794-0000
APPLICANT'S NAME
Last Nguyen First Kong _ J
Applicant's Address
Applicant's E-mail Address
38 Technology Drive
kong.nguyen@stantee.com
City Irvine
State CA — Zip 92618 Telephone 949-923-6022
ARCHITECT/DESIGNER'S NAME Last Vicente_ J First Victoria Lic. No. C-31243
Architect/Designees Address
Architect/Designees E-mail Address
555 Capitol Mall Suite 650
_ victoria. vicente@stantec.com
City Sacramento
State CA Zip 95814 Telephone916-669-5908
ENGINEER'S NAME
Last Phua First Raymond Lic. No. 24509
Engineer's Address
Engineer's E-mail Address
102 Discovery
City Irvine
State CA _ Zip 92618 I Telephone 949-450-1229
CONTRACTOR'S NAME/COMPANY CDG Builders Lic. No. 921615 _I Class C'
Contractor's Address
Contractor's E-mail Address
24 Executive Park
alee@cdgbuilders.com
City Irvine
_ State CA Zip 92614_ Telephone 949-892-3510
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
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DEVELOPMENT NO PLAN CHECK FEES