HomeMy WebLinkAboutX2018-3341 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
r Comm'I r' Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL <�o.•"
rBuilding r Grading
rDrainage r Elec jx Mach r Plum cuvdCut r Cu YdFlll F
Project Address (
ailing address) r Flood r- Fire r Liq r- Landslide rN/A Floor Suite No
0360 Birch St. #1#200
220 �J7 F1& 2 100/200/22
/
Description of Work
Use I` Const Type II -B
Interior Office, Medical
Office,
and Ambulatory Surgery Center tenant improvement projects in
# StoriesF # Units (if Res)r—
Ian existing medical office building.
Work to de done in 3 separate suites. Generator outside.
Valuation $ F1200,000
Material/Labor
New/Add SF
Remodel SF 16260 Garage/New/Add
OWNER'S NAME
Last Eden Fertility Center First
Owner's Address
Owner's E-mail Address
0360 Birch Street, #200
niall@architectsoc.com
City Newport Beach
State CA Zip 92660 Telephone 9497210730
APPLICANT'S NAME
Last �— First
Applicant's Address
Applicant's E-mail Address
City
State F— Zip I Telephoner—
elephoneARCHITECT/DESIGNER'S
ARCHITECT/DESIGNER'SNAME Last Saunders First Niall Lic. No. C-26955
Architect/Designer's Address
Architect/Designees E-mail Address
700 West Coast Hwy. #200 'ared@architectsoc.com
City Newport Beach
State CA Zip 92663 Telephone9497210730
ENGINEER'S NAME
Last Poseph First Fritolin Lic. No.37240
Engineer's Address
Engineer's E-mail Address
914 E. Katella Ave.
mzubair@peica.com
City naheim
State CA Zip 92805 Telephone 7143851835
CONTRACTOR'S NAME/COMPANY
Lic. NoT ClassF
Contractor's Address
Contractor's E-mail Address
City �—
State r Zip F— Telephone�.&�._,,�,
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 9*4 f
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $