HomeMy WebLinkAboutX2014-2002 - Permit ApplicationComm'( El Residential
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Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division l WOq /fir.
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
mBuilding EIGrading 1—iDrainage ElElec [-I,Mech Plum Cued cut
CuYdFill
Project Address (Not mailing address) El Flood ❑ Fire [I Liq ❑ Landslide EN/A Floor Suite No
L7 Hoag Drive, Building 47 STD[✓
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'
145fl rJ(a
Description of Work P X D
eOl l
p'i � Cu%V„V
Use
Const Type
Removal of exterior wall or equipment access. Replacement of existing Gamma Knife
Comma Knifc
with new unit.
# Stories!
# Units (if Res)I
Valuation $
New/Add SFIO
Remodel SFI550
Garage/New/Add
I
Material/Labor
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OWNER'S NAME Last jQuiram
Owner's Address
Owner's
First
E-mail
(Bill
Address
I500 Superior Ave. Suite 300
!bill quiram@hoag.org
City
(Newport Beach i1State
CA Zip
192663 Telephonef949-764-4464
APPLICANT'S NAME Last
Applicant's Address
Wood
Applicant's
1 First
E-mail
Rick
Address
11800 Quail Street, Suite 120
rick.wood@wbsarch.com
City
[Newport Beach State
ICA , Zip
192660 Telephone1949-552-2061
ARCHITECT/DESIGNER'S
Architect/Designer's
NAME Last
Address
(Wood
First
Architect/Designer's
Rick Lic. No.
E-mail Address
jC15130
11800
Quail Street, Suite 120
rick.wood@wbsarch.com
City
'Newport Beach State
CA ' Zip
I92660 TelephoneI949-552
2061
ENGINEER'S
Engineer's
NAME Last
Address
[
First'
Engineer's
E-mail Address
Lic. No.1
City
'.. State
J ! Zip
Telephone[
CONTRACTOR'S NAME/COMPANY
Lic. No.
I,Co
19ffi115 Class'
E3
Lu! u
-r1-Yorrrci®MfzaCTbfTa
Contractor's Address Contractor's E-mail Address
[la EXETET2. Naldr #frari
I
, t� f IccueJT1°'c -1 b .r
City
Iran
State
�- 7 Zip
75432
Telephonelfwi
zoc /2.04
SETBACKS REAR SETBACKS FRONT PERMIT NO. / 1./ 22--
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 24
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USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ - 4. 6
s
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