HomeMy WebLinkAboutX2020-0236 - Permit ApplicationS45/� 17 0f�/,
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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 $