HomeMy WebLinkAboutX2018-3519 - Permit ApplicationPrintFormtr _j Worksheet for Combo Building & Solar Permit Application
f7 Comm'] L Residential City of Newport Beach - Building Division O ts
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �' Z
MBuilding EX Grading gDrainage ❑Elec []Mech [Plum Cu Yd CutF30117 Cu YdFill 1690
rject Address (Not mailing address) ❑ Flood F� Fire ❑ Liq [7 Landslide ❑N/A Floor Suite No
Hospital Road J
Description of Work
Grading and underground utility work for new assited living building
New/Add SF 76,591 Remodel SF L Garage/New/Add
OWNER'S NAME Last
Owner's Address
First
Owner's E-mail Address
Use R2.1/Aj ConstTypeF
# Stories # Units (if Res) 85 J
Valuation $
Material/Labor
tria Senior Living _300 East Market Street,.#100 Matt.Winsryg@atriaseniorliving_com
City Louisville State Zip 0202 Telephone 714-267-5416
APPLICANT'S NAME Last
Applicant's Address
19000 MacArthur Blvd, #500
City Irvine State CA
I.
Applicant's E-mail Address
'oshuas@pancakearchitects.com _ J
Zip 92612 Telephone949-720-3850
ARCHITECT/DESIGNER'S: NAMEI
Last Pancake First Douglas Lic. No. C27254
Architect/Designer's Address Architect/Designees E-mail Address
19000 MacArthur Blvd, 4500 'oshuas@pancakearchitects.com
City Line State CA - Zip 92 612 - Telephone 949-720_3850
ENGINEER'S NAME Last Khomsi _ -- First li _ _ _� Lic. No. 4768
i
Engineer's Address
18400 Von Karmen, #600
City Irvine _-- — State CA_._j
Engineer's E-mail Address
ravis.antonissen@kpff.com J
Zip 92612 Telephone949-252-1022 Ji
CONTRACTOR'S NAME/COMPANY RD Olson Lic. No. 953845 I Class F7
Contractor's Address
2955 MAIN STREET 3RD FLOOR
---- - ----- - -- ---------- --- ----_ J
City Irvine State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
drudd@rdolson.com
Zip 92612 Telephone949-474-2001
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $