HomeMy WebLinkAboutXC2023-0484 - Permit Applicationr Comm'I
Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
r— Rocidpntial mcc m m Ar 7RAF nF RI IRMITTAI
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rBuilding r Grading r-Drainage Fic Elec r Mech
ix
Project Address (Not mailing address) F_ Flood
r" Fire r' Liq f Landslide rN/A Floor Suite No
1st 130
500 Superior Ave.
12.1 Const Type V-A
Description of Work
Juse
2.1
r(1N41STS OF 141 PRF OP BAYG (8) POST OP BAYS (a) GI ROOMS AND Stories #Units(ifRes)ASSOCIATED
CLEAN AND SOILED ROOMS, PATIENT TOILETS, ENVIRONMENTASERVICES, PROCESSING ROOM, STAFF OFFICES, STAFF LOCKERS, TOILETS,
Valuation $ F1750,000.00
SFF— Remodel SF 6052 Garage/New/Add F Material/Labor
New/Add
OWNER'S NAME Last Foag Memorial Hospital Presbyll First
Owner's Address
Owner's E-mail Address
510 superior ave. Suite 290
Newport Beach State CA
Zip 92663 Telephone 949 764 4464
City
NT'S NAME Last Carosilva
First Carla
Address
Applicant's E-mail Address __
F;pplicaffs
ctrum Center Or Ste 730
ccarosilva@boulderassociates.comne
State CA
Zip 92618 Telephone 562 219 8789
ARCHITECT/DESIGNER'S NAME Last Hemandez
First Darcia Lic. No. C-30188
Architect/Designer's Address
ArchitectIDesigner's E-mail Address _
300 Spectrum Center Dr Ste 730
dhernandez@boulderassociates.com
State CA _
Zip 618— -Telephone—
City Irvine
Lic. No. M-36781
ENGINEER'S NAME Last Shaw
First Gentry
Engineer's Address
Engineer's E-mail Address
255 a Rincon St. Suite 301
State CA
Zip 92879 Telephone 951 340 1977
City Corona
Lic. No. F-- Class
"
CONTRACTOR'S NAME/COMPANY
-
Contractor's Address
Contractor's E-mail Address
State
ZIP F_ Telephone�—
City
NO.ZOZ3- •V
SETBACKS REAR SETBACKS FRONT
PERMIT
PLAN CHECK NO. R Wi.��Zgo6
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $