HomeMy WebLinkAboutX2019-2631 - Permit ApplicationPrint Form WOCI(Sheet for Combo Building & Solar Permit Application ��`y�qe
(- CommF_Residential !`_��/ City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �.
rBuilding F_ Grading
F-Drainage F_ Elec F_ Mech F_ Plum CuvdCut s CuYdFill F
Project Address (Not mailing address) F_ Flood F_ Fire F_Liq F_ Landslide /A Floor Suite No
3600(CS) E.COAST HWY.
NEWPORT BEACH, CA 92625 s
Description of Work
Uses Const Type �—
6 6
install 9
Replace antennas, replace antenna pipes, radios
# Stories # Units (if Res)s
Valuations
New/Add SFF_
Remodel SFF— Garage/New/Add F_
50,000
Material/Labor
OWNER'S NAME
Last Fischer First Steven
Owner's Address
Owner's E-mail Address
510 Poinsettia Ave
City Corona Del Mar
State CA Zip 92625 Telephone 9493719282
APPLICANT'S NAME
Last Danso First Chase
Applicant's Address
Applicant's E-mail Address
3300 Irvine Ave, Suite 300
Chase.dariso@smartlinkllc.com
City Newport Beach
State CA Zip 92660 Telephone 7605216818
ARCHITECT/DESIGNER'S NAME
Last First F_ Lic. No. �-
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F__ Telephoned
ENGINEER'S NAME
Last Cai First inguo Lic. No. C 82301
Engineer's Address
Engineer's E-mail Address
1825 W. Walnut Hill Lane, Suite 120 Katya.Seravalle@trylon.com
City Irving
State TX Zip 75038 Telephone 8556695421
CONTRACTOR'S NAME/COMPANY Lic No. Class
Contractor's Address
Contractor's E-mail Address Iti W"
City
State F Zip F TelephoneF
SETBACKS REAR
SETBACKS FRONT PERMIT NO. �
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
sE
SE ONE
DEVELOPMENT NO PLAN CHECK FEES $