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HomeMy WebLinkAboutXC2022-1996 - Permit ApplicationPrin Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division pG � IX Comm] Residential c w�a' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building (` Grading [—Drainage I— Elec , Mech Plum Cu Yd Cut F Cu Yd Fill Project Address (Not mailing address) I"` Flood r7 Fire Liq ( Landslide f>-MA Floor Suite No 500 Bayvievv Circle, Mevvport Beach, CA 92550 ........... F Description of Work Use F Const Type W Remove (9) (E) antennas and install (6) (N) antennas, Remove (12) (E) RRU and install #Stories #Units (if Res) (9) (N) RRU, Remove (2) (E) cabinets and install (2) (N) cabinets, Remove all of (E) Sprint equipment, Minor cabinet and cable 25,000 mik - New/Add SF Remodel SF Garage/New/Add e/New/Add g Valuation $ Material/Labor �(__ OWNER'S NAME Last HMH Properties Inc First Owner's Address Owner's E-mail Address 500 Bayview Circle . y Newport Beach CA City State Zip 92550 Telephone APPLICANT'S NAME Last Krivak on behalf of T-Mobile First Danny 1. Applicant's Address Applicant's E-mail Address 24310 Moulton Pkwy Suite O #1009 dkrivak@coastalbusinessgroup.net LagunaCity State CA Zip 92637 Telephone (949)336-1550 p� ARCHITECT/DESIGNER'S NAME an Stillian Michael Last First Lic. No. C-23337 Architect/Designer's Address Architect/Designer's E-mail Address 30 Thomas MichaeLSantillian@nationaleng.com CityIrvine CA 92618 (949)716-9990 State Zip Telephone ENGINEER'S NAME Santillian Michael C-23337 Last First Lic. No. Engineer's Address Engineer's E-mail Address 30 Thomas Michael.Santillian@nationaleng.com Irvine CA 92618 (949)716-9990 City State Zip Telephone CONTRACTOR'S NAME/COMPANY TBD "'- '—' Lic. No. Class Ole xenll �v Contractor's Address Contractor's E-mail Address City State Zip 9asqo Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. .1 y SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.32, • Z®� Y USE ZONE DEVELOPMENT NO PLAN CHECK FEES $