HomeMy WebLinkAboutX2020-2755 - Permit ApplicationPrint Form.; Worksheet for Combo Building & Solar Pel
( Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB.
0ZBuilding r Grading r,Drainage r Elec F-, Mech I— Plum cu Yd cutl
Project Address (Not mailing address) C-' Flood r Fire f— Liq r Landslide
j00 SUPERIOR AVE. NEWPORT BEACH, CA 92663
2
Cu Yd Fill
rN/A Floor
Suite No
.................
Description of Work Use �' Const Type
NON -ILLUMINATED SIGN TYPE F
# Stories # Units (if Res)s
l_ ia%
New/Add SFIr 2 D Remodel SF Garage/New/Add
OWNER'S NAME Last INEWPORT HEALTHCARE CENTI' First
Owner's Address
520 SUPERIOR AVE. SUITE 265
City NEWPORT BEACH State CA
APPLICANT'S NAME Last
Owner's E-mail Address
BEEGLE@CALCOMM.ORG
Zip
First
lojS 90,0c>
Applicant's Address Applicant's E-mail Address
3122 ALCALDE DRIVE SUITE E OM@VASININC.COM
Zip 92653 -
City LAGUNA HILLS State CA Telephone 49-382-6366
NAME ast /A First
�/-] N
Lic. No. �—
city i State r
Architect/Designers E-mail Address
Zip F_ Telephoned
ENGINEER'S NAME Last N/A First F_ Lic. No.F_
Engineer's Address
City State
Engineers E-mail Address
Zip �— Telephones
CONTRACTOR'S NAME/COMPANY ASIN SIGN SOLUTIONS INC Lic. No. 852671 Classs
Contractor's Address
3122 ALCALDE DRIVE SUITE E
City LAGUNA HILLS State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
Contractor's E-mail Address
OM@VASININC.COM
Zip 92653 Telephone 49-382-6366
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $