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HomeMy WebLinkAboutX2022-0100 - Permit Application (5)11 PaRtform Worksheet for Combo Building & Solar Permit Application ix. Comm'I ❑Residential 11 Me, City of Newport Beach - Building Division �/ ��((p�a % / NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL /�C' (%d r;Building F.Grading r—Drainage FElec Mech ;Plum cuvdcut F cuvdFill F Project Address (Not mailing address) CJ Flood r'i Fire Liq I—, Landslide r_N/A Floor Suite No Drive, Corona Del Mar, CA 92625 �— 1M Bayside Description of Work Use L ConstType V-B # Stories # Units (if Res[—' nzon proposes to modify- existing cell site o0 of building. New/Add SFF7777 Remodel SF Garage/New/Add �, Valuation $ Ij650000 Material/Labor) 111 OWNER'S NAME Last Bahia Corinthian Yacht Club �' First Owner's Address Owners E-mail Address 1601 Bayside Drive, Corona Del Mar, CA 92625 City Corona del Mar State CA Zip 92625 TelephoneF— APPLICANTS 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 J Telephone ARCHITECTMESIGNER'S NAME Last - -- First F77-77 Lic. No. Architect/Designers Address Architect/Designer's E-mail Address City State F_— Zip F— Telephone�; ENGINEER'S NAME Last Privette _ ., First Mark Lic, No. 991463 Engineer's Address Engineers E-mail Address 2415 Campus Dr.Suite 265 ehiggins@tectonicengineering.com City Irvine State CA _ -, Zip 92612 Telephone CONTRACTOR'S NAME/COMPANY Lic. No. F --i Class Contractor's Address Contractor's E-mail Address City State I Zip F Telephone) SETBACKS REAR SETBACKS FRONT PERMIT NO. Vik SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Mon :11