HomeMy WebLinkAboutX2022-0100 - Permit Application (5)11
PaRtform
Worksheet for Combo Building & Solar Permit Application
ix. Comm'I ❑Residential 11 Me, City of Newport Beach - Building Division �/ ��((p�a
% / NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL /�C' (%d
r;Building F.Grading r—Drainage FElec Mech ;Plum cuvdcut F cuvdFill F
Project Address (Not mailing address) CJ Flood r'i Fire Liq I—, Landslide r_N/A Floor Suite No
Drive, Corona Del Mar, CA 92625 �—
1M Bayside
Description of Work
Use L ConstType V-B
# Stories # Units (if Res[—'
nzon proposes to modify- existing cell site o0 of building.
New/Add SFF7777 Remodel SF Garage/New/Add �,
Valuation $ Ij650000
Material/Labor)
111
OWNER'S NAME Last Bahia Corinthian Yacht Club �' First
Owner's Address Owners E-mail Address
1601 Bayside Drive, Corona Del Mar, CA 92625
City Corona del Mar State CA Zip 92625 TelephoneF—
APPLICANTS NAME Last Verizon Wireless First
Applicant's Address Applicant's E-mail Address
2415 Campus Dr.Suite 265 ehiggins@tectonicengineering.com
City Irvine State CA Zip 92612 J Telephone
ARCHITECTMESIGNER'S NAME Last - -- First F77-77 Lic. No.
Architect/Designers Address Architect/Designer's E-mail Address
City State F_— Zip F— Telephone�;
ENGINEER'S NAME Last Privette _ ., First Mark Lic, No. 991463
Engineer's Address Engineers E-mail Address
2415 Campus Dr.Suite 265 ehiggins@tectonicengineering.com
City Irvine State CA _ -, Zip 92612 Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. F --i Class
Contractor's Address Contractor's E-mail Address
City State I Zip F Telephone)
SETBACKS REAR SETBACKS FRONT PERMIT NO. Vik
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Mon :11