HomeMy WebLinkAboutX2011-1483 - Permit ApplicationPlease print 3 copies
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Worksheet for Building Combo Permit Application
De -AP
City of Newport Beach - Building Department
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1. Project Address (Not mailing address)
'One Hoag Drive, Building 44
Tenant Name(If ApplIcable)I.i4'Otd-le ¢r.,t..o c Mnvr4
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2. Description of Work
'Tenant Improvement
Exist House SF 91.134
Exist Gar SF
r Add
Floor Suite No
2nd 200
# Unit (if Residential) r—
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Demo House SF Add/Reconstruct House SF 11.883
Demo Garage SF Add/Reconstruct Garage SF
Alter
rDemo
TOTAL HOUSE SF
-Par
TOTAL GARAGE SF I
Valuation $-80989—
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# Stories �/ t
11-A 5P1
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Check ADorooriate Box for ADDlicant
RI 3. Owner's Name Last
(Hoag Hospital REFCO i First
Owner's Address Owner's E mail Address
1500
Superior Avenue, Suite 300
City'Newport
Beach I State
CA Zip
92663 I
Telephone'949-764-4486
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Architect/Designer's Name Last
Wood
I First
Rick i Lit. No.
C15130
Architect/Designer's
Address
Architect/Designer's E-mail Address
11800
Quail Street, Suite 120
rick.wood@wbsarch.com
City
'Irvine State
CA Zip
192660
TelephoneI949-552-2061
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Engineer's Name Last'
First'
Lic. No.
Engineer's
Address
_. _ _,
Engineer's E-mail Address
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City'
-_. ' State
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Telephone'
I-6.ContractorsName Last
Contractor's Address Gl1((./.�I�rv�5`31A
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actors E-mail Address
Class
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Zip
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OFFICE USE ONLY ENERGY P/C FEE $ 5, j ?'`' C)Ji' 1�11tN><U11 X 24S
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GRADING P/C FEE $ 1 I
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Rev 1/18/07 ELEC/MECH/PLUM P/C 75.b .' b5.?4 ,, j 4re °IEN CHECK FEE9H 54
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