HomeMy WebLinkAboutX2022-0778 - Permit ApplicationIPrint Form
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Worksheet for Combo Building & Solar Permit Applicati »
City of Newport Beach - Building Division )(+2022- 0778
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 0- 2 0
v
j` Building IW Grading EDrainage la Elec (` Mech r Plum cu Yd cut)
Project Address (Not mailing address) I— Flood f— Fire r Liq r Landslide
Cu Yd Fill
C.-N/A Floor
Suite No
11 HOAG DR
I
Description of Work
Use
Const Type
ADD (2) 24'x40' MODULAR TRAILERS TO BE USED AS TEMPORARY TRAINING WORKROOMS.
ALSO ADD RAMP & WALK -WAY. PARKING AREA RE -STRIPED.
# Storied
# Units (if Res)r
Valuation $
New/Add SFI
Remodel SF11780
Garage/New/Add
I
Material/Labor
50,000.00
OWNER'S NAME Last
Owner's Address
IHOAG MEMORIAL HOSPITAL- First
Owner's E-mail
I
Address
11 HOAG DR
IBILL.QUIRAM@HOAG.ORG
City
INEWPORT BEACH State
CA Zip I92663
Telephonel949-764-4496
APPLICANT'S NAME Last ILIEBKE
Applicant's Address
First
Applicant's E-mail
STEVE
Address
11340
REYNOLDS AVE #115
SLIEBKE@LIEBKE.ORG
City IIRVINE
State ICA
Zip
I92614 Telephone1949-752-5052
ARCHITECT/DESIGNER'S
Architect/Designer's
NAME Last
Address
ILIEBKE
First
Architect/Designer's
ISTEVE
E-mail Address
Lic. No. IC-28341
11340
REYNOLDS AVE #115
City'IRVINE
State
ICA Zip
192614 Telephone1949-400-5462
ENGINEER'S
Engineer's
NAME Last `\ , i}
'1 V (ma
Address
y.
vr
First
t-
Engineer's
E-mail
`�ytl�'�-�'
Address
Lic. N
'' Ot IA
I
City
I State
I Zip
Telephone)
CONTRACTOR'S NAME/COMPANY
Contractor's Address
(SDU'Il-� COuu"TY C�1.�'iRI�GTo%1�5 Lic. No.
Contractor's E-mail Address
19218115 Class'
g
I
23639 TLr p wa\r
Lamea ou-TH Cookyrr Gonrrrz4icroaS.com
City
H vig io State
I C.n Zip
9 2_67C12 Telephonelq
ISSIC .)
205 ‘3o¢
SETBACKS REAR SETBACKS FRONT PERMIT NO. XZ022 -(y7 7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 06 S. cf.- ZOZ`Z
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ t o 741,63