HomeMy WebLinkAboutXC2023-0006 - Permit ApplicationPrint;Form / Worksheet for Combo Building & Solar Permit Application
( LoZ3 -- 60®14 City of Newport Beach - Building Division �
� Comm'I � esidential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c+y canN`�
r Building r Grading rDrainage FT Elec jr Mech
j— Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) f Flood r" Fire r'; Liq r Landslide f N/A Floor Suite No
13900 Pacific Coast Hwy
�— F
Description of Work
Use F Contt Type I
WQrk consists of adding new 75 KVA UPS in Data Room 789 New
UPS unit will serve at
# Stories #Units (if Res)
redundant to existing UPS.
Valuation $ $50,000
Material/Labor
New/Add SF Remodel SF I Garage/New/Add F
OWNER'S NAME Last Quiram
First Bill
Owner's Address
Owner's E-mail Address
1 Hoag Drive
Bill.Quiram@Hoag.org
City Newport Beach State CA
Zip 192663 Telephone 949-764-4496
APPLICANT'S NAME Last Liebke First Fteve
Applicant's Address
Applicant's E-mail Address
1340 Reynolds Ave. Suite 115
sliebke@liebke.org
City Irvine State CA
Zip 92614 Telephone 949-752-5052
ARCHITECT/DESIGNER'S NAME Last Liebke
First Steve Lic. No. �C28341
Architect/Designer's Address
Architect/Designer's E-mail Address
1340 Reynolds Ave. Suite 115
isliebke@liebke.org
City Irvine State CA
Zip 92614 Telephone 949-752-5052
ENGINEER'S NAME Last Zajicek
First Stephen Lic. No. E10372
Engineer's Address
Engineer's E-mail Address
150 Paularino
City Costa Mesa State CA
Zip 92626 Telephone 949-852-9995r
CONTRACTOR'S NAME/COMPANY CA Yr) f ►. (, ` ( e" Lic. No. c � Class F_
+
Contractor's Address
Contractor's E-mail Address
KA
f c-,Kogl,,( e cqo%,, i Cam''r `1:bv"L
City State G
ZIP L(� Telephone ZR
SETBACKS REAR SETBACKS FRONT
PERMIT NO. 23 ~�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. RZO 3 v-000
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $