HomeMy WebLinkAboutX2018-3235 - Permit Applicationr Worksheet for Combo Building & Solar Permit Application
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Print Form
Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r Flood
(— Fire r Liq r Landslide rN/A Floor Suite No
I' 120
20360 Birch Street
Description of Work
Use I_ Const Type II -B
Interior Medical Office Tenant Improvement in an existing medical
office building. No structural
# StoriesF2 # Units (if Res)F
ork in this project. This is the first tenant in this space in this building.
Valuation $
New/Add SF�— Remodel SF 3377 Garage/New/Add �—
F66000
Material/Labor
OWNER'S NAME Last Grover
First Dr. Sanjay
Owner's Address
Owner's E-mail Address
360 San Miguel Dr. #307
niall@architectsoc.com
City Newport Beach State CA
Zip 92660 Telephone 949-759-9551
APPLICANT'S NAME Last Dudley First Pared
Applicant's Address
Applicant's E-mail Address
2700 West Coast Hwy. #200
'ared@architectsoc.com
City Newport Beach State CA
Zip 92663 Telephone 9497210730
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 9497210730
ENGINEER'S NAME Last lAntolin
First Foseph Lic. No.37240
Engineer's Address
Engineer's E-mail Address
914 E. Katella Ave.
antolin@peica.com
City naheim State CA
Zip 92805 Telephone 7143851835
`j—r�Ic Lic No. g 1301j� Class
CONTRACTOR'S NAME/COMPANY VI ars
Contractor's Address
Contractor's E-mail Address
S,�lp 10 3��
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City �� State �—
Zip uj �S Telephone�/r 4'.. •�`6 ,'�
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
A' /
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $