HomeMy WebLinkAboutX2019-0062 - Permit Application (2)� l9 gyp= Zc�l
Print For Worksheet for Building Combo Permit Application
jX Comm1 r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
JR Building i- Grading
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Project Address (Not mailing address) Floor Suite No
3100 Pacific View Drive
Description of Work
Use wireltj
Modification to an existing wireless facility consisting of six panel antennas, 9 RRU's behind
# Stories # Units (if Res)1—
extended root mounted screens, and relatedipment within existing radio cabinets.—
New/AddSFF
Remodel SFF Garage/New/Add —.
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Valuation FiEmc)
Material/Labor
OWNER'S NAME
Last Church Second of Christ Scienti"f First
Owner's Address
Owner's E-mail Address
3100 Pacific View Drive
City Newport Beach
State CA Zip 92625 TelephoneF_
APPLICANT'S NAME
Last Sprint c/o M.Squared Wireless -. First (Lp.N(!{��t FjRp�,60
Applicant's Address
Applicant's E-mail Address
1387 Calle Avanzado
forozco@interlinkpg.com &32-��\
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City San Clemente
State CA Zip 92673 Telephone 619-632-2569
ARCHITECT/DESIGNER'S NAME Last Montello First Fulchael Lic. No. C50547
Architect/Designer's Address
Architect/Designer's E-mail Address
1387 Calle Avanzado
michael@m2wireless.com
City San Clemente
State CA Zip 92673 Telephone949-391-6824
ENGINEER'S NAME
Last M.Squared Engineers First F_Lic. No.F_
Engineer's Address
Engineer's E-mail Address
1387 Calle Avanzado
city San Clemente
State CA Zip 92673 Telephone
CONTRACTOR'S NAME/COMPANY TBD Lit. No. F Class F.
Contractor's Address
Contractor's E-mail Address
City r'
State [ Zip I Telephone
lo.—
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO.�L I g F=o-
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK NO. 47_72tq4t2•-7L71�
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $