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HomeMy WebLinkAboutX2019-3826 - Permit ApplicationPrint Form Wo !k eet for Combo Building & Solar Permit Application r Comm'I r Residential I/ Jl City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F- Building F_ Grading Drainage jx ec X ech X lum curdCut� cuvdFill 3 Project Address (Not mailing address) F_ Flood F- F e Li r Landslide F_N/A Floor Suite No 1101 Bayside Drive 1 Description of Work Use B Const Type V B — Minor interior improvement tenant to an existing medical office. Re -work of existing # Storiesl2 # Units (if Res)3 building lobby and restrooms. ��p a n41A- JV' N Valuation $ g6000 Material/Labor New/Add SFF— Remodel SF 920 Garage New/Add �— OWNER'S NAME Last ICosmeticare First Devon Niccole Owner's Address Owner's E-mail Address 1101 Bayside Drive #200 niccole@southcoastmgmt.com City Newport Beach State CA Zip 92625 Telephone 9497186900 APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City �— State F_ Zip F_ Telephonel— ARCHITECT/DESIGNER'S NAME Last ISaunders FirstFall Lic. No. -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 4497210730 ENGINEER'S NAME Last Nour First aum Lic. No. 115597 Engineer's Address Engineer's E-mail Address 3839 Birch St. nour@absoluteco.com City Newport Beach State CA Zip 92660 Telephone 498528700 CONTRACTOR'S NAME/COMPANY Lic. No. Classcoft4 42 f Contractor's Address Contractor's E-mail Address 25�ifs2 CGtrti�o Rdt;���,ficr City I M(,5S,CX-t, V ieJo StateF—CAZip qTZ C_t) Telephone (ik�) sm-n,, I SETBACKS REAR SETBACKS FRONT PERMIT NO. XZo 19 Z-6 KS LEFT SETBACKS RIGHT PLAN CHECK NO. �? - Ton NE LSE ��JJ. DEVELOPMENT NO 1� //CJI -ORo ELAN CHECK FEES $ J-%C�' l�1 no