Loading...
HomeMy WebLinkAboutX2021-0236 - Permit ApplicationS45/� 17 0f�/, N Print Form Worksheet for Combo Building & Solar Permit Application rX Comm1 r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c,`o r -Building f—Grading(—Drainage [Elec j—Mech r—plumCu Yd Cut cuvdFill _. Project Address (Not mailing address) r Flood r Fire r- Liq r Landslide r_.N/A Floor Suite No 531 East Bluff Newport Beach, CA of Work (1) set of illuminated channel letters Use F Const Type F # StoriesF— # Units (if Res)F_ New/Add SF � Remodel SF Valuation $ i(��f �rrrrrrVssssssttt�����v�---,,, Garage/New/Add �'', Material/Labor) OWNER'S NAME Last Irvine Company Owner's Address 110 Innovation Drive City Irvine State CA First Owner's E-mail Address �ecle7stein@irvinecompany.com Zip PH17 Tele hone 49-720-3100 APPLICANT'S NAME Last Golshani Applicant's Address Applicant's E-mail Address 15445 Red Hill Ave Suite "A" Izad@ad-impact et City ustin _ _. State CA __ Zip 2780 �Telephor ARCHITECT/DESIGNER'S NAME Last ,/ �'First Architect/Designer's Address C'ty State 14-315-7811 Architect/Designer's E-mail Address Zip = Tele11 p 11 hone No. ENGINEER'S NAME Last First i [77777777 Lic. No.1-- Engineer's Address City - State CONTRACTOR'S NAME/COMPANY Engineer's E-mail Address _...._.._. ...... _- zip Telephone Tele - � dlmpact Corporate Signage Lic. No. � (� j Z Ila ssF . Contractor's Address 15445 Red Hill Ave. suite "A" City ustin _ State CA .,._ SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO Contractor's E-mail Address zad@ad-impact.net Zip92780 Telephonerlllr49 476-0015 PERMIT NO. V LCC.Y..I ' PLAN CHECK PLAN CHECK FEES $