HomeMy WebLinkAboutX2022-1736 - Permit Applicationz �! i. z0,2_Z-)13
Print Form Worksheet for Combo Building & Solar Permit Application ��EWp°RT
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r Comm'I I— Residential City of Newport Beach - Building Division J S8 1 - 2..o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL `
j�Building (— Grading
(`Drainage (_ Elec F Mech F Plum CuYdCut CuYdFill F
Project Address (Not
mailing address) I- Flood F_ Fire F_ Liq r Landslide F_N/A Floor Suite No
12545 Eastbluff Drive�—
Description of Work
Use Iv Const Type V-B
Modification of an existing Veri7on
wireless cell si . Replacing (6) existing 6' tall panel antennas
# StoriesF # Units (if Res)
with (6) new 6' tall antennas. Installing
(6) new radio units and (1) new raycap
New/Add SF
Remodel SF Garage/New/Add F_
Valuation $ 13,000
Material/Labor
OWNER'S NAME
Last Thompson First David
Owner's Address
Owner's E-mail Address
550 Newport Center Drive
City Newport Beach
State CA Zip 92660 Telephone 714-928-1597
APPLICANT'S NAME
Last Holland _ First Garrett
Applicant's Address
Applicant's E-mail Address
3471 Via Lido Suite 202
garrett@fularch.com
City f Newport Beach
State CA Zip r2663 Telephone 1 949-633-6576
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
City (Newport Beach
State CA Zip 92663 Telephone 949-838-4139
ENGINEER'S NAME
Last Hunt III First Glen Lic. No. 67146
Engineer's Address
Engineer's E-mail Address
PO Box 50039
City Phoenix
State AZ Zip [85076 Telephone 602-403-8614
Lic. No. �()�� (� i Class
CONTRACTOR'S NAME/COMPANY TBD M Gi IU -C C_Ne J'y
Contractor's Address
a
J Li
Contractor's E-mail Address 613u0 73 387 U �3 (
City �—
State F Zip C Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO. Z.(�7iZ — 17 b
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 1587 —
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $