HomeMy WebLinkAboutX2022-0778 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit ApplicaM'D)n
aEwPogr
(� Comm'I [-Residential
City of Newport Beach - Building Division 022 0-778
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL O(,Q % - 2 o 2? 00.NP
[- Building [- Grading
[—Drainage [- Elec (` Mech (- Plum Cu Yd cut) Cu Yd Fill
Project Address (Not mailing address) r- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
1 HOAG DRv
Description of Work
Use Const TypeVj�
ADD (2) 24'x40' MODULAR TRAILERS TO BE USED AS TEMPORARY TRAINING WORKROOMS.
# Stories[-_ # Units (if Res)F
ALSO ADD RAMP &WALK -WAY.
PARKING AREA RE -STRIPED.
New/Add SF
Remodel SF 1780 Garage/New/Add
Valuation $ 50,000.00
Material/Labor
OWNER'S NAME
Last HOAG MEMORIAL HOSPITAL- First
Owner's Address
Owner's E-mail Address
1 HOAG DR
BILL.QUIRAM@HOAG.ORG
City NEWPORT BEACH
State CA Zip 92663 Telephone 949-764-4496
APPLICANT'S NAME
Last LIEBKE First STEVE
Applicant's Address
Applicant's E-mail Address
1340 REYNOLDS AVE #115
ISLIEBKE@LIEBKE.ORG
City IRVINE
State CA Zip 92614 Telephone949-752-5052
ARCHITECT/DESIGNER'S NAME Last LIEBKE First STEVE [----
Lic. No. C-28341
Architect/Designer's Address
Architect/Designer's E-mail Address
1340 REYNOLDS AVE #115 F_
City IRVINE
State CA Zip 92614 Telephone 49-400-5462
ENGINEER'S NAME
Last First r Lic. N W
Engineer's Address
�I
Engineer's E-mail Address
City
State Zip Telephoner
CONTRACTOR'S NAME/COMPANY Lic. No. 91 8$ I '75 Class
SDU'rJ4 Couu-rY CDD1j'TRlyGToR5
Contractor's Address
Contractor's E-mail Address
23 G 39 tL r p�w�Y
City
�iE2 Ov7'H Ccov►a'r1- Gonrirl-KTt�7ZS • �-0t�
State r Zip I Telephone
156�OtJ VIELI0
I w 92Lc72 20 4- 4G 5 3 ¢
SETBACKS REAR
SETBACKS FRONT PERMIT NO. XZOZZ "071 `'3
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. (96 B cf - ZOZ`Z
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ LU N, 63