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HomeMy WebLinkAboutX2021-3394 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o�aq °"e F_Comm I F_Residential City of Newport Beach -Building Division X'La2.�— �94 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ��„a„��' rBuilding r Grading r,Draina a lec Mech Um Cu Yd Cut Cu Yd Fill 9 ! F Project Address (Not mailing address) FFlood f— Fire F— Liq F— Landslide FN/A Floor Suite ]No 3901 EAST COAST HWY CORONA DEL MAR—! Description of Work THIS PROJECT CONSISTS OF INTERIOR RENOVATIONS TO AN EXISTING ASSISTED LIVING / MEMORY CARE FACILITY. THE SCOPE OF WORK INCLUDES REMODEL OF THE EXISTING THERAPEUTIC KITCHEN AT THE MEMORY CARE DINING AREA AND RELOCATING THE EXISTING MEMORY CARE DIRECTOR OFFICE. NO ADDITIONAL SQUARE FOOTAGE ADDED AS PART OF THIS RENOVATION PROJECT. New/Add SF � --I Remodel SF 991 Garage/New/Add [ — Use R2.1 Const Type A,, # Storie, # Units (if Res) Valuation $ Material/Labor '.. OWNER'S NAME 1 NEWPORT BEACH CA Last PROPERTY OWNER, LLC First Owner's Address Owner's E-mail Address 3901 EAST. COAST HWY ,. ASBarter@watermarkcommunitles.Com City CORONA DEL MAR State FCA _. Zip 92625 I Telephone 530-448-6453 APPLICANT'S NAME NEWPORT BEACH CA Last PROPERTY OWNER, LLC First Applicant's Address 3901 FAST COAST HWY City CORONA DEL MAR State CA Applicant's E-mail Address ASBarter@watermarkcommun itiss.com Zip 92525 Telephone 530-448-6453 ARCHITECT/DESIGNER'S NAME Lic. No. 34807 Last GAUNCE First MEGAN Architect/Designer's Address 115 22ND STREET City NEWPORT BEACH State CA Architect/Designer's E-mail Address M GAU N CE@H P IARCH I TECTU RE. COM Zip 92663 Telephone 94967516442 ENGINEER'S NAME Last i First Engineer's Address city State Lic. No.r—' Engineer's E-mail Address Zip �.- Telephoned CONTRACTOR'S NAMEXOMPANY Marquis_ �011$ 1utCrlDh__ Lic. No. 31eg4BClassFI Contractor's Address 15595Daniels SA. s� E City CwInD li State 69 SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT Contractor's E-mail Address �1PunkeaCJmargytis-CbrnQAnteS• vom Zip F Telephone PERMIT NO. PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $