HomeMy WebLinkAboutX2022-0100 - Permit Application (4)Print Form Worpkshheet for Combo Building & Solar Permit Application o4 Po"e
rx Corri r-, Residential MCity of Newport Beach -Building Division J�O.}
�� e NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL h
(K Building r Grading F-Drainage F Elec (X Mech r Plum Cu Yd Cut Cu Yd Fill �
Project Address (Not mailing address) r Flood r Fire Liq r— Landslide rN/A Floor Suite No
Drive, Corona Del Mar, CA 92625
1601 Bayside
Description of Work
Use Fu— ConstType V-B
# Stories[ # Units (if Res)F_
verizon proposes o existing cell site on roofTop of building.
Valuation $
New/Add SFF Remodel SF Ir Garage/New/Add F—
F85000
Material/Labor
OWNER'S NAME Last Bahia Corinthian Yacht Club First
Owner's Address Owner's E-mail Address
1601 Bayside Drive, Corona Del Mar, CA 92625
City Corona del Mar State CA Zip 92625 TelephoneF�
APPLICANT'S 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 Telephoner
ARCHITECT/DESIGNER'S NAME Last F-- First I Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State F_ Zip F— Telephoner
ENGINEER'S NAME Last Privette First Mark Lic. No. C91463
Engineer's Address Engineer's 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— ClassF
Contractor's Address Contractor's E-mail Address
City State I Zip F— Telephoned —
SETBACKS REAR SETBACKS FRONT PERMIT NO. t qq
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $