HomeMy WebLinkAboutX2018-3157 - Permit ApplicationPrint Form W- rksheet for Combo Building & Solar Permit Application
�' Comm'I Resid2en�tia1l 2, 1 r_ -;,I City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
9
FX -Building F_ Grading F -Drainage F-Elec F-Mech f- Plum Cu Yd cuts Cu Yd Fill F
Project Address (Not mailing address) r- Flood F- Fire F_ Liq r L slide f_N/A Floor Suite No
4041 MACARTHUR BOULEVARD
Description of Work
Use Const Type
VERIZON WIRELESS PROPOSES TO MODIFY AN EXISTING TELECOM FACILITY WITH THE
,
# Stories # Units (if Resf
INSTALL (2) RAYCAPS IN (E) EQUIPMENT ROOM, & INSTALL ASSOCIATED CABLES
New/AddSF� RemodelSFF-
Garage/New/AddF-
Valuation$ F15,000
Material/Labor
OWNER'S NAME Last TANLER
First KEITH
Owner's Address
Owner's E-mail Address
4041 MACARTHUR BOULEVARD, #275
City NEWPORT BEACH StateCA Zip 92660 Telephone 714-752-6242
APPLICANT'S NAME Last ROME
First ALEXA
Applicant's Address
Applicant's E-mail Address
131 INNOVATION DRIVE, SUITE 100
ALEXAR@JRAINC.NET
City IRVINE State CA
Zip 92617 Telephone 949-760-3929
ARCHITECT/DESIGNER'S NAME Last ROME First JEFFREY Lic. No. C 20876
Architect/Designer's Address
Architect/Designer's E-mail Address
131 INNOVATION DRIVE, SUITE 100
JEFFREYR@JRAINC.NET
City IRVINE State CAZip
92617 Telephone 949-760-3929
ENGINEER'S NAME Last ZALZALI
First WISSAM Lic. No.C 71655
Engineer's Address
Engineer's E-mail Address
23675 BIRTHCER DRIVE
WISSAM@zalzali.com>
City LAKE FOREST State CA
Zip 92630 Telephone 949-273-0996
CONTRACTOR'S NAME/COMPANY TBD WO Yq3 1�Class �
(OPVAt Lic. No.)
l�
V
/
Contractor's Address
Contractor's E-mail Address
I4�9 5� CU ft 4
I Ila ene�-sm��k� waveam,n. ANLL
City flr'n a State F
Zip 9r�41 Telephone 9(79 _ /off 3„QF5 (—
/ 8
SETBACKS REAR SETB&.CKS FRONT
PERMIT NO. [S�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. bt - Ml
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ p `I Vt