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HomeMy WebLinkAboutXC2022-2094 - Permit ApplicationycloZ2- 20 I q Print Form Worksheet for Combo Building & Solar Permit Application IX Comm'I j- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FX Building r Grading F-Drainage Fx- Elec F- Mech (- Plum Cu Yd CutF Cu Yd Fill F Project Address (Not mailin ress) I- Flood F_ Fire F_ Liq r Landslide I-N/Aj F�loor� Suite No Newport Center Dr Suite 1057 I F-- Description of Work . Use Const Type 1 illuminated blade sign # Stories[ # Units (if Res)[ Valuation $ New/Add SF Remodel SF-- Garage/New/Add r 1000. Material/Labor OWNER'S NAME Last Irvine Co First Owner's Address Owner's E-mail Address 110 Innovation Dr. aujohnson@irvinecompany.com City Irvine State CA Zip 92617 Telephone 949-720-2840 APPLICANT'S NAME Last 1AKC Permit Co/Kasey Clark First Applicant's Address Applicant's E-mail Address 115197 Lighthouse Lane [info@akcservices.net City Lake Elsinore State CA Zip 92530 Telephone 951-471-8419 ARCHITECT/DESIGNER'S NAME Last First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address F City F ° State F Zip F Telephone r ENGINEER'S NAME Last First I Lic. No. Engineer's Address Engineer's E-mail Address City � State I Zip �- Telephone CONTRACTOR'S NAME/COMPANY Empire Sign And Crane Services Lic. No. 833106 Class 445 Contractor's Address Contractor's E-mail Address ((2�2816 Cove View St City Canyon Lake State CA Zip 92587 Telephone 951-322-8079 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. �(�Q,1� t6'� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Kew