HomeMy WebLinkAboutXC2023-0059 - Permit ApplicationME
Print Form Worksheet for Combo Building & Solar Permit Application (K o,EPo e
Comml F—Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F- Grading
[—Drainage F Elec F—Mech r Plum CaYdCut CuYdFill F
Project Address (Not mailing address) r Flood F- Fire r Liq F_ Landslide rN/A Floor Suite No
4667 MacArthur Blvd, Newport Beach, CA 92660 F
Description of Work
Use Teleco ConstType FVerizon
is proposing modification of existing Wireless facility by installing (2)(N)MW Dish in
# StoriesF # Units (if Res)F—
Valuation $ F000
Material/Labor
New/Add SFF—
Remodel SF F Garage/New/Add F—
OWNER'S NAME
Last Johnson First Shelly
Owner's Address
Owner's E-mail Address
1300 Briston N., STE 190
City Newport Beach
State CA Zip 92660 Telephone 949-476-0104
APPLICANT'S NAME
Last Fsandhu First Ravinder
Applicant's Address
Applicant's E-mail Address
2415 Campus Dr., STE 265
rsandhu@tectonicengineering.com
City Irvine
State CA Zip 92612 Teleplione 949-410-1356
ARCHITECT/DESIGNER'S NAME Last First Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F— Zip F— Telephonel—
ENGINEER'S NAME
Last Privette First James Lic. No. C91463
Engineer's Address
Engineer's E-mail Address
2415 Campus Dr., STE 265
City Irvine
State CA Zip 92612 Telephone 949-502-8555
CONTRACTOR'S NAME/COMPANY TBD Lic. No. �j_ C3'4 Class j3 C, )O
Contractor's Address
Contractor's E-mail Address�oe�
9/5 /d✓�
PEr>� ,_fs
City . ISc,
State � zip g"/� Telephon 3Z
SETBACKS REAR
SETBACKS FRONT PERMIT NO. It C'
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $