HomeMy WebLinkAboutX2019-1124 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
(K Comm'I [- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-Building r Grading [—Drainage IX Elec r Mech FX- Plum Cu Yd Cut Cu Yd Fill F
Project Addre Not mailing address) [- Flood r Fire [- Liq F Landslide [-N/A Floor Suite No
1 &2 100/zoo/z2
0360 Birch t. #100 00 #220 2,'15
Description of Work
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Use � Const Type II -6
Interior Office, Medical Office, and Ambulatory Surgery Center tenant improvement projects in
# Storiesl2 # Units (if Res)F
an existing medical office building. Work to de done in 3 separate suites. Generator outside.
New/Add SFr Remodel S Garage/New/Add �—
Valuation $ 0
Material/Labor[1,200,0(
OWNER'S NAME Last Eden Fertility Center First
Owner's Address
Owner's E-mail Address
20360 Birch Street, #200
niall@architectsoc.com
City Newport Beach
State CA Zip 92660 9497210730
APPLICANT'S NAME Last I
\T_elephone
First �i q tn.
Applicant's Address
Applicant's E-mail Address
X160 tr�.�. Si'
b11q�..v. vho�r�s —u s A. co vI^
City
State L Zi�oTelephone TT —237 _701r
ARCHITECT/DESIGNER'S NAME
Last Saunders First Nll Lic. 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 Telephone9497210730
ENGINEER'S NAME Last Joseph First ntolin 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
Offis IhC Lic. No.q� Class F3
Contractor's Address
Contractor's E-mail Address
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city """ f -
State CA- Zip Fq7& Telephone
79ic, log
SETBACKS REAR
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SETBACKS FRONT PERMIT NO. -6 �
d
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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