HomeMy WebLinkAboutX2019-0647 - Permit Applicationffl�
❑ Residential
Comm'I
C� xN'l Dull t-
Permit A oplication
Worksheet for Combo Building &Solar Pe p
h _Building Division
NOTE
City of Newport Beac
PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[JBuilding
Grading [JDrainage ❑Elec
❑
INot mailing address
❑ Mech Plum
Cu Yd Cut Cu Yd Fill
❑ Flood ❑ Fire [] Licl ❑ Landslide ❑N/p`
Project Address
,�aaRidoe Park Road, Newport Beach, CA 92657 APN 478-161-17
of Work
ant "A" - Modl
New/Add SF
OWNER'S NAME
Floor Suite No
t�
Use Const Type
ration to existing telecommunications facility. I # Stories # Units (if Res)FJ
First
Last County of Orange
Valuation $
Remodel SF
Garage/New/Add � Material/Labor � �(
�— Owner's E-mail Address
Owner's Address
14 Civic Center Plaza
State CA Zip 92701 Telephone
City Santa Ana
APPLICANT'S NAME Last T&T Mobility/MASTEC
First Linda Williams
Applicant's Address
12672 Limonite Avenue, 3E-185
state CA
City Corona
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's Address
k-
Applicant's E-mail Address
Linda@Amwireco-COm
Zip 92880
Telephone 949-37376377
First Lic. No. � I
h...- �. d �`_'n' it Address ��
a P�_kt
State CA Zip 2 .Z
Telephone
City ,r�$�--
Lic. No. _u.�
cl- First
ENGINEER'S NAME Last( r
Engineer's E-mail Address
Engineer's Address
Q-, ^ Zip L� Telephone__�
State N [ I
City Lic. No. 984138 Class
CONTRACTOR'S NAME/COMPANY MASTEC Network Solutions ontractor's E-mail Address
Contractor's Address 71 karl.dellenbch@mastec.com
1825 Ponce De Leon Blvd., #543 State Zip 33134
33134 Telephone "( (� Z
'ty Coral Gables
FL J
SETBACKS FRONT
CKS REAR
SETBACKS RIGHT
KS LEFT
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO. 3"
PLAN CHECK FEES $