HomeMy WebLinkAboutX2015-0619 - Permit ApplicationLomb*,
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jX City of Newport Beach - Building Division LPA #1475010
Comm'I j— Residential p�ioy
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
�7Building fl Grading (Drainage r)-(Elec fX Mech IK Plum Cu Yd Cut
Project Address (Not mailing address) Il Flood fl Fire fl Liq fl Landslide
Cu id Fill
f N/A Floor
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Suite No
1 Hoag Drive, Building 44
3 1340
Description of Work
Use
B Canst Type
II A
Interior Tenant Improvement of Existing vacant suite into doctors office. Tenant Improvement
to include : Addition of 1 toilet room, Addition of 4 Doctors Offces, 2 Storage Rooms, and 2 ivew
Hire Offices. This is a Non- Licensed Suite and does not require OSHPD-3 Compliance.
# Storiesk # Units (if Res)[
Valuation $
New/Add SFIO
Remodel SFI1,091
Garage/New/Add
10
Material/Labor
48,016.00
OWNER'S NAME Last
Owner's Address
Quiram First (Bill
Owner's E-mail Address
1510 Superior, Suite 290
bill quiram@hoag.org
City
!Newport Beach State
CA Zip
192663 Telephone
949-764-4464
APPLICANT'S NAME Last
Applicant's Address
1Marchetta First
Applicant's E-mail
,Marie
Address
5161 California, Suite 100
mmarchetta@Ipainc.com ; bwilkerson@lpainc.com
City Jlrvine State CA Zip
92617 Telephone949-769-6246
ARCHITECT/DESIGNER'S NAME Last Wood First !Rick
Architect/Designer's Address Architect/Designer's E-mail
Lic. No. 1C15130
Address
15161 California, Suite 100
rwood@Ipainc.com
City !Irvine
State
CA Zip 92617 Telephone
949-769-6240
ENGINEER'S NAME Last
Engineer's Address
1 First
Engineer's
E-mail Address
Lic. No.1
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City
C
I State—
Zip
Telephone
__CONTRACTOR'S
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NAME/COMPANY 1
Contractor's Address I
;2 /1 c A.\nIc
' 1'�� t
' Lic. No.
Contractor's E-mail Address
b3•765I Class
Y.
1,.01 9)11
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City
(9t000r-1-
jr
ectc State I c Zip fZ�ji�O Telephone
%�9�j 7556
SETBACKS REAR SETBACKS FRONT PERMIT NO. X 2,0 15 — 0(0 9
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 0 Li
1)S—
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 15; , g