HomeMy WebLinkAboutX2022-0100 - Permit Application (3)P' orm Worksheet for Combo Building & Solar Permit Application O�`EW� a
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Project Address (Not mailing address) [7 Flood (_; Fire Liq F7 Landslide F_N/A Floor Suite No
Drive, Corona Del Mar, CA 92625
1601 Bayside
Description of Work
Use L Const Type V-B
# Storiesr— # Units (if Res
eriz n ro oses to modify existing cell site on rooftop of building.
Valuation $
New/Add SFr— Remodel SFF—Garage/New/Add r
B5000
Material/Labor
OWNER'S NAME Last Bahia Corinthian Yacht Club First
Owner's Address Owner's E-mail Address
1601 Bayside Drive, Corona Del Mar, CA 92625
City Corona del Mar_ - -. - State CA _ - Zip 92625 Telephoned---
APPLICANT'S NAME Last Verizon Wireless First
Applicant's Address Applicant's E-mail Address
2415 Campus Dr.Suite 265 ehiggins@tectonicengineering.com
City Irvine State CA- -- Zip 92612 Telephoned—'
ARCHITECT/DESIGNER'S NAME Last First F-7— Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
- --- _._-.... --- __ __.---.
City � State F Zip F_ Telephoned
ENGINEER'S NAME Last Privette -, First Park Lic No. C91463
Engineer's Address Engineer's E-mail Address
2415 Campus Dr.Suite 265 ehiggins@tectonicengineering.com
City Irvine State CA Zip 92612 Telephonel—
CONTRACTOR'S NAME/COMPANY Lic No. SZ? Class
Contractor's Address Contractor's E-mail Address
City �— State I — Zip F Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $