HomeMy WebLinkAboutX2021-2185 - Permit ApplicationPrint Form ;
Worksheet for � l/]i
�Eomm'I r Residential COInI)O BUII � 2,19
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City of New ding & Solar P
kBuildin NOTE: PLAN CHECK F Beach - Buildin ermlt Application
9 r Grading FEES DUE 9 Division
rDrainage Ell AT TIME OF o
Project Address r Mech SUBMITTAL
(Not mail- r Plum a vd cut °<,• 347 WEWPpRT n9 address "
CENTER) r Flood r Fire cuvdpin
DRIVE r Liq r Landslide (-"N/A
Description of wor Floor
k IN I Suite NO
I�l�n .- l i1) ONE ILLUMINATED WALL4sp SIGN _EVIS,,-
190Vaccr,1 IJdN LLNii �.
New/Add SF�-�— �� I3 4NNEK Use Const Type
ON 6XISrOV° 2-(3x
Remodel SF Jke #Stories
7�35� # Units (if Res)
OWNER'S NAME Garage/New/Add
Valuation
Last IRVI Material/Labor
Owner's Address NE COMPANY
110 INNOV First
ATION CIRVINE DRIVE
Owner's E-mail Address
ity
APPLICANT$ NAME
Cq
ME Zip 92612
Last REICH Telephone 9
--49-
----Z-2dtlress 72� 0-31pp .
12439 MAGNOLIA BLVD First JEFF
- # 113 Applicant's City NO•HOLLY E-mail Address
WOOD
ARCNITECi State CA SIGNPERMI7@C,MAIL.COM
/DESIGNER'S 1%AIy1E Zip 91607
Architect/Designer's A A / Last Telephone g18_ 675-5-
Address
First
Architect/Desi Lic. No
City State gner's E-mailAddress QJ
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ENGINEERLast 'S NgME Zip
Telephone��'-_
'
Engineer's Address
- First��"-�
Engineer's - Lic. No.r�""� j
City „E-mail Address
CONTRACTORState �`' i�
'S NAME/COMPANY
Zip �`"-- ! Telephonel_
Contractor's MALL SIGNS &SERVICE I
Address -
12439 MAGNOLIA BLVD Lic. No. 811074
# 113 Contractor's E-mail Address Class C45
City No Hot 1
WOOD MALLS
State Cq GNSVC@AOL.CO
Zip M
SETBACKS REAR 91607 Telephone
818-764-1909
SETBACKS LEFT SETBACKS FRONT
USE ZONE SETBACKS RIGHT PERMIT NO.
DEVELOPMENT NO PLAN CHECK NO. �
PLAN CHECK FEES $ 8
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