HomeMy WebLinkAboutXC2024-0465 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
rx— Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide FN/A Floor Suite No
22 Corporate Plaza Drive, Newport Beach, CA 92660 12
Description of Work
Use B Const Type IIIB
Equipment modernization; life -cycle replacement of existing floor
& overhead mounted x-ray
imaging machine with new generation model -floor & overhead
mounted. Work is limited to
#Stories #Units (if Res)
patch & repair, replacement of equipment and reconnection to existing
power supply. No
change to the usability of the building or facility or new placement of switches or receptacles.
Valuation
�
New/Add SFFo— Remodel SFFo__ Garage/New/Add IV —
$ 12,000
Material/Labor
OWNER'S NAME Last Roshto
First Lindsey
Owner's Address
Owner's E-mail Address
620 Newport Center Drive, Ste 150
Iroshto@irvinecompany.com
City Newport Beach State CA
Zip 92660 Telephone 949.729.7228
APPLICANTS NAME Last Holmblad
First Kirt
Applicant's Address
Applicant's E-mail Address
4675 MacArthur Court, Ste 100
kirt_holmblad@gensler.com
City Newport Beach State CA
Zip 92660 Telephone 949.260.8632
ARCHITECT/DESIGNER'S NAME Last James First Eric Lic. No. C-24187
Architect/Designer's Address
Architect/Designer's E-mail Address
4675 MacArthur Court, Ste 100
ericJames@gensler.com
City Newport Beach State CA
Zip 92660 Telephone 949.863.9434
ENGINEER'S NAME Last Escobedo
First Allen Lic. No. S5021
Engineer's Address
Engineer's E-mail Address
700 S Flower St, Ste 2100
allen.escobedo@kpff.com
City Los Angeles State CA
Zip 90017 Telephone 213.310.8547
CONTRACTOR'S NAME/COMPANY David Goldberg
Lic. No. 946368 Class
Contractor's Address
Contractor's E-mail Address
1301 Dove Street, Suite 130
dgolgberg@pacifictusk.com
City Newport Beach State CA
Zip 92660 Telephone 949.679.4580
SETBACKS REAR SETBACKS FRONT
PERMIT NO. X(_,��Y — 026—S
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. OCZ�- t-&7
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $