HomeMy WebLinkAboutX2020-2063 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 041
r Comm'I (- Residential City of sion
NOTE: PLAN CHEKOFES DUErt Beach -AT TAME OF uilding iSUBMITTAL xo�
rBuilding j- Grading F-Drainage r Elec F_ Mech
j- Plum CuvdCut cuvdFill
Project Address (Not mailing address) F_ Flood
F_ Fire r Liq (- Landslide f N/A Floor Suite No
611 Heliotrope Ave, Corona Del Mar CA 92625
Descriptionofof Work
Use F—Const Type F
AT&T proposes to modify an existing wireless site. SOW on sheet T01
# Stories #Units (if Res)
Valuation $ 15,000
New/Add SF I No change Remodel SF tl Garage/New/Add �-
Material/Labor
OWNER'S NAME Last Corona Del Mar community church First
Owners Address
Owner's E-mail Address
611 Heliotrope Ave, Corona Del Mar CA 92625
gwvanotten@gmail.com
City � State F
Zip F_ Telephoned
APPLICANT'S NAME Last Stephenson
First i Jamo
Applicant's Address
Applicant's E-mail Address
506 Second Ave, Suite 1533
jamo.stephenson@coreoneconsultants.com
City Seattle State CA
Zip 98104 Telephone 619 780 4635
ARCHITECT/DESIGNER'S NAME Last Leeper
First Michael Lic. No. C 83930
Architect/Designer's Address
Architect/Designer's E-mail Address
506 Second Ave, Suite 1533
michael.leeper@coreoneconsultants.com
City Seattle State WA
Zip 98104 Telephone[ —
ENGINEER'S NAME Last �—
First F_ Lic. No.F—
Engineers Address
Engineer's E-mail Address
State F
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City
Zip Telephoned
CONTRACTOR'S NAME/COMPANY TBD
i' U/�"l.ic. No. { ClassP -
Contractor's Address
Contractor's E-mail dress
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67vrd_ 130-O /n D Mff"v +ZF, COO,
City I OA411 tO State (�—
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Zip Telephone[901) rl$ - S� S-L
SETBACKS REAR SETBACKS FRONT
PERMIT NO. -/- (.O�p - 70 6
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $