HomeMy WebLinkAboutX2022-1499 - Permit ApplicationF, Comm',
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Worksheet
Residential
TOr �'+'• Uivision
City of Newport Beach - Building OF SUBMITTAL
NOTE: PLAN CHECK FEES DUE AT 71ME Cu Yd Fin
Elec
Grading [:Drainage!.
roject Address 1j•""
320 Campus Dr.
description of work
2 295 SF non surgical orthc
within an existing warm she
New/Add SF _. _--
pWNER'S NAME
Mailing
Plum Cu Yd Cut
Mech (x; -- -
Fire [. Liq [_ Landslide
r Flood [,
Remodel SFF7�
Last
Garage/New/Add
Owners Address
us Dr. Suite 250 -
us LLC 5020 Camp --
NewportCamp ---
--- " State CA
- -
wport Beach
city Ne
First IF red
FWA Floor Suite No
-. 1177
210
Use , ConstType VBS_",
# Stories # Units (if Res1�
Valuation 5 $270,000
Material/Labor
Owner's E-mail Address
falaghband@
acsirvine com -----
oAq 263.1920
M.
First
Last Schafer
APPLICANT'S NAME -- -_ Applicant's E-mail Address
msa corp net --__
Applicant' Suite
mschafer@
---
Suite G -- - 949.584.5426
- -- _
- Telephone -
23192 Alcalde Dr. Zip g2653 -
State CA
-- Lic.No. C-13366
una Hills -
City Lag _-
- - First Michael _ -
ARCHITECTIDESIGNER'S NAME Last Schafer -- _-
�2r3192
chitectlDesigner's Address
Alcalde Dr. Suite
-_
State CA
city Laguna Hills _ - - -
ArchitectlDesignees E-mail Address
mschafer@msa-corpnet- - _ --__ ----
Telephone 949.584_5-4T -
Zip 92653 -
Lic.
NO-
------�
ENGINEER'S NAMELast-------
Engineer's Address
--- - "- _ - State
City -
CONRACTOR'S NAME/COMPANY
T
Engineer's E-mail Address
Zip Telephoner_ —_
column
4Construction - __ ___----
Contractor's Address
5020 Campus Dr. Suite 25
--
-__-
State C
City Newp ort Beach
--
SETBACKS FRONT _
ETBACKS REAR
SETBACKS RIGHT _
ETBACKS LEFT ��
DEVELOPMENT NO _
Class
Lic No. 992770 _
Contractor's E-mail Address
alan @colu mn4construchon. co
_ -----
- Telephone 949_337 0884
F?F660 -
Zip
xto2t -
PERMIT NO. 14q,Z
— PLAN CHECK NO. ,
pLAN CHECK FEES $
SE ZONE