HomeMy WebLinkAboutX2020-1623 - Permit Application (3)Print Form Worksheet for Combo wilding & Solar Permit Application
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City of Newport Beach - Building Division010! n
omm`I `X Residential10 vI I,ez?J
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 9«Fong
X Building Grading Drainage X Elec F+ Mech F Plum Cu Yd Cut! Cu Yd Fill
Project Address (Not lmaliiing address) Flood Fire Liq - Landslide 17NJA Floor Suite No
393 Road Hospital
p' , Newport Beach, CA 92663 ,
Description of Work Use 1/A Const Type VA/B
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Deferred Submittal for permit no.1679-2018: Exterior tensile shade structure (USA Shade
drawings) and exterier lighting revi5ions fef path of travel (fef�er to Delta P on Aff.hiteetural anel# Stories # Units (if Res 85
Electrical Drawings).
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New/Add SF Remodel SF Garage/New/Add IMaterial ab
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OWNER'S NAME r—�----- - -- ------,.—�__».-
Last ;Hougham First ;Scott
Owner's Address Owner's E-mail Address
1.300 East Market Street, Suite 100 !Scott.Hougham@atnaseniorliving.com
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City Louisville She JKY w
11
Zip 202 Telephone 15-696-3313
APPLICANT`S NAME Last JGoei
First Morgan
Applicant's Address Appkcanfs E-mail Address
1900gp MacArthur Blvd lMorganG@pancakearchitects.com
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State CA
City Irvine zip 192612 Telephone 3850
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ARCHITECT/DFSIGNEWS NAME l
Last !Pancake First Douglas Lic. No_ C 27254
Architect/Designer's Address Architect/Designer's E-mail Address
1.19000 MacArthur Blvd Suite 500DougPl@pancakearc hitects.Com
- --- - _
City Irvine State CA zip 92612 Telephone 949-720-3850
ENGINEER'S NAME Last Thorpe First wl11iam Lic. No S3866
Engineer's Address Engineer's E-mail Address
18400 Von Karmen Avenue, Suite 600 Biii.Thorpe@kpff.com
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Ciry Irvine State 1vA zip92612 T11e949-697 1b'if7
CONTRACTOR'S NAME/COMPANY I _ s nM Lic No_ [ Class
- B
- ---
AMID
Contractor's Address Contractor's E-mail! Address
400 Spectrum Center Drive _ rdolson_com -
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City Irvine state .CA ZIP92618 Telephonel949-474- 001
SETBACKS REAR SETBACKS FRONT
PERMIT NO. / OWO --' bC�
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
PLAN CHECK NO.
PLAN CHECK FEES $
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