HomeMy WebLinkAboutX2021-1577 - Permit ApplicationPrint Form I Worksheet for Combo Building &Solar Perm 4� a'`'`W^
r', Comm'I r Residential City of Newport Beach - Building Division a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI A w c .oa mu
s"$
r_1 Grading F -Drainage F-Elec f-Mech r- Plum CuvdCutF CuvdFillffil
Project Address (Not mailing address) F-1 Flood F- Fire 'q F-! Landslide FK -N/A Floor Suite No
2100 Mar Vista Drive Newport Beach, CA 92660
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Description of Work
UseConst Type eecomm
This capacity
anchor project entails:
Remove (6) (I=) Apt@ppas Removo apd Replace (I=) 'Alai' With FRR SGreaping At Aptenna
# Stories, #Units (if Res)
Install (6) Panel Antennas Install (1) Cabient (1) Battery Cabient i
valuationa 25,000.00
Material/Labor
�'' Not Available 9 F_!
New/Add SF Remodel SF �� Gara a/New/Add i
OWNER'S NAME Last Center First Pastoral
Owner's Address Owner's E-mail Address
18280 Chapman Ave gbaich@rcbo.org
City Garden Grove State CA i92840 N/A
_ Zip Telephoned —1
APPLICANT'S NAME Last Alba First Joshua
Applicant's Address Applicant's E-mail Address
24310 Moulton Parkway Suite 0 #1009 1 falba@coastalbusinessgroup.net
y La una Hills
Cit g State Zip 92630 CA Telephone 949-336-1550
ARCHITECT/DESIGNER'S NAME Last Engineering First National Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
30 Thomas N/q
City Irvine State CA Zip 92618 Telephone (949) 716-9990
ENGINEER'S NAME Last Engineering National
First �—' Lic. No.F
Engineer's Address Engineer's E-mail Address
30 Thomas N/A
City Irvine State CA Zip 92618 Telephone (949) 716-9990
CONTRACTOR'S NAME/COMPANY TBD Lic. No. F Class'',
Contractor's Address Contractor's E-mail Address
I
City State r Zip Telephonel
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $