HomeMy WebLinkAboutX2019-2978 - Permit Application=Pant Forrr Worksheet for Combo Building & Solar Perm t AppH do
Comm'I r Residential City of Newport Beach - Building Division,`�-
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r,Building rGrading i—Drainage (`FletrMech rl,Plum cuvdCut � CuvdFill
Project Address I
1501 Westcliff Drive Suite 320 & 323
r Flood r Fire r Liq r Landslide rN/A Floor Suite No
Description of Work Use sl Const Type VB
Modification of an existing Verizon cell site, remounting existing antennas onto new dual
mount races. Adding new KRUs an new raycaps, swapping equipment cabinet and # Stories # Units (if Res)[_
moving portable generator plug.
Valuation $ 16,000
New/Add SF1 Remodel SFF , Garage/New/Add Material/Labor
OWNER'S NAME Last'Acuna First ILaura
Owner's Address Owner's E-mail Address
250 Newport Center Drive Suite 300
City Newport Beach State CA Zip 92660 Telephone 949-720-8166
APPLICANT'S NAME Last (Holland
Applicant's Address
3471 Via Lido Suite 202
City Newport Beach State CA
I
First I Garrett
Applicant's E-mail Address
garrett@fularch.com
Zip 92663 Telephone 949 633-6576
ARCHITECT/DESIGNER'S NAME I�
Last Fulsan
9 First (Eric ! Lic. No. C30715
Architect/Designees Address
3471 Via Lido Suite 202
City Newport Beach State CA
Architect/Designer's E-mail Address
eric@fularch.com
Zip 92663 Telephone 949-838-4139
ENGINEER'S NAME Last Poole First Rick Lic. No. 71869
Engineer's Address
3471 Via Lido Suite 202
City Newport Beach State CA
Engineer's E-mail Address
rick@fularch.com
Zip 92663 Telephone 949-838-4139
CONTRACTOR'S NAME/COMPANY TBp /�M 4) T ti� Lic. No 5��%7 Class-,¢
U �
Contractor's Address
City [ 6I ', State
tJ r
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
Rayr,oAXA. SAH eL_y' )a\c,mo tQ - C ON
Zip Sti 94.E Telephone N - 6Jt!-W;"
PERMIT NO.
PLAN CHECK NO. ) (4; ,
PLAN CHECK FEES $
0 1 -.4) r _ 'I n /I