HomeMy WebLinkAboutX2021-2319 - Permit ApplicationPrint Form Worksheet for Combo Building $ Solar Permit Application OWN
FX_m'1 r ComResidential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding f— Grading
j—Drainage rElec Mech FPlum Cu ydCut F Cu yd Fill
Project Address (Not mailing address) I— Flood r Fire r Liq f— Landslide FN/A Floor Suite No
57 Newport Center Dr., Newport Beach, CA 92660 F_
Description of Work
Use F—Const Type
illuminated
"Live
(1) channel letter
set (44.24sgft) (1) door vinyl Your Power" (1) door vinyl
# Stories # Units (if Res)s
"Corepower
orepower logo (2) window vinyl
Yoga'
Valuation
Material/Laabor Fq
New/AddSFF
RemodelSF�—Garage/New/Add—
OWNER'S NAME
Last Samaniego First pulie
Owner's Address
Owner's E-mail Address
110 Innovation Drive
'samaniego@irvinecompany.com
City Irvine
State CA Zip 92617 Telephone 949 720 3160
APPLICANT'S NAME
Last eber First rnna
Applicant's Address
Applicant's E-mail Address
2816 Cove View Street
mpiresign@verizon.net
City anyon Lake
State I�"' Zip 2587 Telephone 909 322 8079
ARCHITECT/DESIGNER'S NAME Last First F Lic. No.F
Architect/Designees Address
Architect/Designer's E-mail Address
City I
State � Zip [_ Telephoner
ENGINEER'S NAME
Last First r— Lic. Nof—
Engineer's Address
Engineer's E-mail Address
City
State �— Zip F— Telephones
CONTRACTOR'S NAME/COMPANY
Empire Sign and Crane Service Lic No. F33106 Class C-45
Contractor's Address
Contractor's E-mail Address
2816 Cove View Street
mpiresign@verizon.net
City Canyon Lake
State CA Zip F2587 Telephone 09 322 8079
SETBACKS REAR
SETBACKS FRONT PERMIT NO. X<202 ( -Z31a
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
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DEVELOPMENT NO _ t/c-G�' U(S$ PLAN CHECK FEES $
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