HomeMy WebLinkAboutX2019-2978 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Perm nt nApplicatio
X Comm'l r Residential City of Newport Beach - Building DivisionW`�- 1211 T
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[X -Building F_Grading F -Drainage [_Elec FMech r-1PlumCuvdCut I CuvdFill I
Project Address (Not mailing address) r- Flood f7 Fire F- Liq f7 Landslide r_N/A Floor Suite No
1501 Westcliff Drive Suite 320 & 323
Description of Work Use IU Const Type VB
Modification of an existing Verizon cell site, remounting existing antennas onto new dual
mount races. Adding new KKUs an new raycaps, swapping equipment cabinet and # Storied— # Units (if Res)[—
moving portable generator plug.
Valuation $ 16,000
New/Add SFF Remodel SFF— Garage/New/Add FI Material/Labor
OWNER'S NAME Last lAcuna FirstI Laura
Owner's Address Owner's E-mail Address
250 Newport Center Drive Suite 300
Cit New art Beach State CA
y Zip 92660 Telephone949-720-8166
APPLICANT'S NAME Last Holland First Garrett '...
Applicant's Address Applicant's E-mail Address
3471 Via Lido Suite 202 garrett@fularch.com
City Newport Beach State CA Zip 92663 Telephone 949-633-6576
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ARCHITECT/DESIGNER'S NAME Last Fulsang _ First Eric Lic. No. C30715
,
Architect/Designer's Address Architect/Designer's E-mail Address
3471 Via Lido Suite 202 eric@fularch.com
cityNew ort Beach State CA Zi 92663 Tele hone 949-838-4139
p ... p. P _.. _.
ENGINEER'S NAME Last Poole First Rick Lic. No. 71869
Engineer's Address Engineer's E-mail Address
3471 Via Lido Suite 202 rick@fularch.com
City Newport Beach State CA Zip 92663 Telephone 1 949-838-4139
CONTRACTOR'S NAME/COMPANY TBDIA^104) r Lic. No. .5)0,7 Class es"%6
Contractor's Address Contractor's E-mail Address
13/5 Zc%sf 14ho_ RQ nro�r.�.5Akrtiet a`,,,motj (oM,
City 1 � Z -5p. k State Xr Zip .S4 !01 Telephone ..-t)�5�
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO. 2-U �Cj-
PLAN CHECK N0.
PLAN CHECK FEES $_.
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