HomeMy WebLinkAboutX2013-2519 - Permit ApplicationPrint Form
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tAfpksheet for Combo Building & Solar Permit . 2115 `2O i3
City of Newport Beach - Building Division X O 13 2 5i q
Resid ial 'NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 4 Io4Q Dr
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Building I ---Grading (Drainage Elec JMech 'Plum Cuvdcutl
Project Address (Not mailing address) r Flood f- Fire f Liq I- Landslide
- Cuvd Fill
[XN/A Floor
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Suite No
One Hoag drive Newport Beach Ca 92658
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Description of Work
Use
B
ConstType I
IVK
Minor remodel of existing J es Irvine Building on Hoag Hospital campus
[ to support temporary SPD.
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# Storied
1
# Units (if Res)[
Valuation
New/Add SFI
0 Remodel SF
11,194 Garage/New/Add
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$
Material/Labor))
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11100
OWNER'S NAME Last
Owners Address
I Zoll First
Owner's E-mail
Gregg
Address
b. 01(• ?Eil
I One Hoag drive
Gregg.zoll@hoag.org
City
Rewport Beach State
CA Zip
92658 Telephone)
949 764-4468
APPLICANT'S NAME Last
Applicant's Address
ZOII First
Applicant's E-mail
I Gregg
Address
One Hoag drive
Gregg.zoll@hoag.org
City
Newport Beach State
CA Zip
192658 Telephone
949 764-4468
ARCHITECT/DESIGNER'S
Architect/Designer's
NAME Last
Address
I Regier
First
Architect/Designer's
I Randy
E-mail
Lic. No.
Address
[C23842
17850
Fitch
rregier@wearetaylor.com
City
I Irvine — State
CA Zip
92614 Telephonel-949
574-1325
ENGINEER'S
Engineers
9
NAME Last
Address
A
First
Engineer's
E-mail
Address
Lic. No]
S
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^ �`�s
City
I State F.-- Zip
Telephonel
CONTRACTOR'S NAME/COMPANY
Contractor's Address
I Doh c aT '3 Lic.
mRucro
Contractor's E-mail Address
No.
1312. q. is t
Class
-
2-234 t , L'S#&JThA Ro
Greasq'-TCD wzicooUrv-krirt
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City
A t. ete.yna State
reA Zip I
ul 2.6yoG Telephone'
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SETBACKS REAR SETBACKS FRONT PERMIT NO. X 13"
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SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N al
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USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ r' 41410