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HomeMy WebLinkAboutX2018-3286 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application Saw r Comm'I r Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r'Building rGrading rDrainage rElec r1Mech r- Plum Cu Yd Cut Cu yd Fill Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No 5000 Birch St Description of Work ) ,r Use Const Type �' 066 6L, -C! hree Illuminated Monument Signs # Stories' # Units (if Res)'. Valuation 5 Material/Labor [$15,000.00 New/Add SFF— Remodel SFF— Garage/New/Add F— OWNER'S NAME Last alker First Daniel --- - ------ Owner's Address- Owner's E-mail Address 5000 Birch St aniel.walker@am.ill.com City Newport Beach State Ca. Zip 92660 Telephone 949-885-2970 APPLICANT'S NAME Last Colchado First Paime Applicant's Address Applicant's E-mail Address 111 W. Dyer Rd. #F 'aime.colchado@signspecialists.com City Santa Ana State Ca. Zip 92707 Telephone 714-697-5033 ARCHITECT/DESIGNER'S NAME Last _avala First Miguel._ Lic. No. 988048 Architect/Designer's Address Architect/Designer's E-mail Address 111 W. Dyer Rd. #F miguel.zavala@signspecialists.com City Santa Ana State Ca Zip 92707 Telephone 714-641-0064 ENGINEER'S NAME Last N/A First r', Lic No.F_ Engineer's Address Engineer's E-mail Address -- City State r Zip f — Telephonei— CONTRACTOR'S NAME/COMPANY Sign Specialists Corporation Lic No. 988048 Class C-45 Contractor's Address Contractor's E-mail Address 111 W. Dyer Rd. #F City Santa Ana State Ca Zip 92707 Telephone714-641-0064 SETBACKS REAR SETBACKS FRONT PERMIT NO. / o) U 32,?� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $