HomeMy WebLinkAboutX2018-3342 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application -r" PoR
FX- Comm'I r Residential City of Newport Beach - Building Division 5
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ��.o.�"
rBuilding r Grading rDrainage r Elec rx Mech r Plum Cu Yd cut Cu Yd Fill
Project Address (Not mall!"dress) r Flood r Fire r— Liq r Landslide rN/A Floor Suite No
0360 Birch St. #700 #200 220
[18,2 100/200/22
Description of Work
lG�
Use F Const Type II -B
Interior Office, Medical Office, and Ambulatory Surgery Center tenant improvement projects in
# Storiesl2 #Units (if Res)
la n existing medical office building. Work to de done in 3 separate suites. Generator outside.
New/Add SFF Remodel SF 16260
Garage/New/Add F
Valuation $ 1,200,000
Material/Labor
OWNER'S NAME Last Eden Fertility Center
First
Owner's Address
Owner's E-mail Address
0360 Birch Street, #200 t �.
niall@architectsoc.com
City Newport Beacrt State CA ' Zip 92660 Telephone 9497210730
APPLICANT'S NAME Last
First
Applicant's Address
Applicant's E-mail Address
City State 7—
Zip F— Telephone
ARCHITECT/DESIGNER'S NAME Last Saunders First NiallLic. No. C-26955—
Architect/Designer's Address
Architect/Designer's E-mail Address
700 West Coast Hwy. #200
ared@architectsoc.com
City Newport Beach State CA
Zip 92663 Telephone 9497210730
ENGINEER'S NAME Last Joseph
First Fntolin Lic. No. F37240
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. No. I Class
Contractor's Address
Contractor's E-mail Address
City State F—
Zip F_ Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO.'T2.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $