HomeMy WebLinkAboutX2020-1831 - Permit Applicationi=rint.Form , Worksheet for Combo Building & Solar Permit Application
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL !!tt
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Address
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Westcliff Drive #104, Newport Beach, CA 92660
Floor Suite No
Description of Work UseConst Type
(1) Illuminated Wall Sign 2.50 x 15.00'= 37.50 SF - -- -
# Stories' # Units (if Res)F
-
Valuation $ 2000.00
New/AddSFF Remodel SFF7— Garage/New/Add F7777 Material/labor
OWNER'S NAME Last
Owner's Address
First
Owner's E-mail Address
2043 Westcliff Drive #210
_
. State
Zip 92660
Telephone 949-645-1236
City
Newport Beach
_
CA
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
5301 Barstow Street pacneon@san.rr.com
City San Diego State CA Zip F777Telephone 858-735 4080
ARCHITECT/DESIGNER'S NAME Last First Lic. No.F--
Architect/Designers Address
City State
Architect/Designer's E-mail Address
Zip �— Telephoner
ENGINEER'S NAME Last FirstF—, Lic. No.F—
Engineer's Address
city State F—
Engineer's E-mail Address
Zip [_ Telephoned
CONTRACTOR'S NAME/COMPANY Pacific Neon Lic. No.748088 Class C45
Contractor's Address
5301 Barstow Street
City San Diego State CA
Contractor's E-mail Address
pacneon@san.rccom
92117 85-735 4080
Zip Telephone8
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVEL M I ' 01"�
PERMIT NO.
PLAN CHECK
PLAN CHECK FEES $
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o em Community Development Department
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Planning Permit Application
9a.
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1. Check Permits Requested:
❑ Approval -in -Concept - AIC #
❑ Coastal Development Permit
❑ Waiver for De Minimis Development
❑ Coastal Residential Development
❑ Condominium Conversion
❑ Comprehensive Sign Program
❑ Development Agreement
❑ Development Plan
❑ Lot Line Adjustment
2. Project Addresses)/Asses:
3.
❑ Lot Merger
❑ Limited Term Permit -
❑ Seasonal ❑ < 90 day ❑>90 days
❑ Modification Permit
❑ Off -Site Parking Agreement
❑ Planned Community Development Plan
❑ Planned Development Permit
❑ Site Development Review - ❑ Major ❑ Minor
❑ Parcel Map
s Parcel NOW
CITY OF NEWPORT BEACH
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
❑ Staff Approval
❑ Tract Map
❑ Traffic Study
❑ Use Permit -❑Minor []Conditional
❑ Amendment to existing Use Permit
❑ Variance
❑ Amendment -❑Code ❑PC ❑GP ❑LCP
I Other: Sign
Project Description and Justification (Attach additional sheets if necessary):
(1) Illuminated Wall Sign 2.50'x. 15.00'= 37.50 SF
S
4. Applicant/Company Nametan Ideker /Pacific Neon
5301 Barstow Street
Mailing Address Suite/Unit
City
San Diego I State I
CA Zip 92117
858-735-4080 pacneon@san.rr.com
Phone Fax � Email
5. Contact/Company Name I
Stan Ideker / Pacific Neon
5301 Barstow Street
Mailing Address Suite/Unit
San Diego CA 92117
City State Zip � J
858-735-4080 pacneon@san.rr.cem
Phone FaxF-1 Email
Waterpointe Commercial
6. Owner Name
2043 Westcliff Drive #210
Mailing Address Suite/Unit
Newport Beach CA 92660
City state zip
Phone 949-645-1236 I Fax F1 Email
S
7. Property Owner's Affidavit*: (I) (We)ee Attached Landlord Signed Rendering
depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (1) (We) further
certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information
herewith submitted are in all respects true and correct to the best of (my) (our) knowledge and belief.
Signature(s): Title: I Date:
DD/MO/YEAR
Signature(s): Title: I Date: I
*May be signed by the lessee or by an authorized agent if written authorization from the owner of record is filed concurrently with the
application. Please note, the owner(s)' signature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized.
F]Users\CDD\ShamdWdmint lanning_Divislon Appliwtions Appilmdon_GuidellnesViannin8 Permit Application -COP added.dom Rev: 0124/17