HomeMy WebLinkAboutX2021-0727 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
FX Comm1 F- Residential City of Newport Beach - Building Division \
NOTE: PLAN CHECK FEES DUE AT TIME OF suRMITTnI
rBuilding r Grading (-Drainage r Elec r Mech r Plum CuydCut F_ CuYdFill F_
Project Address (Not mailing address) F Flood r Fire r Liq F_ Landslide F_N/A Floor Suite Nc
III 7T Camelback St.,
F �—
Description of Work
Use Const Type
Installation of new AT&T antennas &
radio remote units with new
screening wall
# StoriesF2 # Units (if Res)
Valuation$
Material/Labor '150000
New/Add SFF_ Remodel SF F—
Garage/New/Add i—
OWNER'S NAME Last Naeve
First Nancy
Owner's Address
Owner's E-mail Address
675 MacARthur Court, Suite 500
nnaeve@dahncorp.com
City Newport Beach State CA Zip 92660 Telephone 49-752-1282
APPLICANT'S NAME Last Shih
First Istella
Applicant's Address
Applicant's E-mail Address
1745 W. Orangewood Ave., Suite #103
tella.shih@rlsusa.com
City Orange State CA
Zip 2868 Telephone 02-527-3592
ARCHITECT/DESIGNER'S NAME Last
First
T, Lic. No. F_
ArchitectlDesigner's Address
Architect/Designees E-mail Address
City State �—
ZipF Telephone[
ENGINEER'S NAME Last Lee
First Chris Lic. No. 1054
Engineer's Address
Engineer's E-mail Address
1745 W. Orangewood Ave., Suite 103
chris.lee@rlsusa.com
City Orange State CA
Zip 2868 Telephone F14-685-0123
CONTRACTOR'S NAME/COMPANY ITBD
Lic. No. 617S ZS6 lassF—
Contractor's Address
Contractor's E-mail Address
Ai?CHIajAI_D AVE
)IM.1=oCH-r8rAF7a-0V-FM
City Or�TA;iO tate cA
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Zip ;I 17 Tele hone p C� o0 ). SyZ- L41.1,1
i , C06k75 3 3i 1 z'z-
SETBACKS REAR SETBACKS FRONT
PERMIT NO. W ZE `01 Z
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
qq ��,, pptt QQ
USE ZONE DEVELOPMENT NO V9 9 1�P3 PLAN CHECK FEES $
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