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HomeMy WebLinkAboutXC2022-2070 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r COmm1 F Residential City of Newport Beach - Build' D' ' r Building NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F Grading Project Address j—Drainage r Elec mailing addres Newport Center D ription of Work N ma a wa sign r% 3( $ r Mech r plum Cu Yd CutF- Cu Yd Fill r Flood r Fire j— Liq F Landslide New/Add SFF — Remodel SFF — OWNER'S NAME Owner's Address 10 Innovation Dr Last llrvine Co Garage/New/Add F— City Irvine State CA APPLICANT'S NAME Last AKC Permit Co/Kasey Clark Applicant's Address 15197 Lighthouse Lane City Lake Elsinore State CA ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address First rN/A Floor Suite No Use I I Y ' Const Type r # StoriesF_ # Units (if Res)[— Valuatido$ ^ rwo Material/Labor J Owner's E-mail Address b m ucha@ Irvin ecompa ny. com Zip 92617 Telephone 949-720-3100 First Applicant's E-mail Address info@akcservices. net Zip V92530 Telephone 951-471_B419 First Lic.No. F � Architect/Designers E-mail Address I City -- State F— Zip F Telephoned -- ENGINEER'S NAME Last First �— Lic. No.� Engineer's Address Engineer's E-mail Address City State I Zip Telephoner — CONTRACTOR'S NAME/COMPANY R Sign Services Lic. No. 1031552 — Class C45 Contractor's Address Contractor's E-mail Address 530 Esplanade #501 City Redondo Beach State CA Zip 90277 Telephone 323-372-5922 SETBACKS REAR -- SETBACKS FRONT SETBACKS LEFT — SETBACKS RIGHT PERMIT NO. — USE ZONE PLAN CHECK N0 DEVELOPMENT NO PLAN CHECK FEES $