HomeMy WebLinkAboutX2020-2754 - Permit ApplicationPrint Form Work et for Combo Building &Solar Permit Application �NEW�ge
r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUSMI AL �(� Z �s`
FRIBuIlding r Grading Drains a ",
g r Elec r Mech rPlum CuYdCutlCu Yd Fill
Address (Not mailing address) fFlood Fire r Liq r Landslide [N/A FloorSUPERIOR AVE. NEWPORT BEACH,CA 92663Suite No
pon of Work -
F
New/Add SF 0 Remodel SF17�'
OWNER'S NAME Last NEWPORT HEALTHCARE CENTI!
Use Const Type
# Stories # Units (if Res)s
Add Valuation $ b g y g 06
Material/Labor /
I
Owner's Address --
20 SUPERIOR AVE. SUITE 265 Owner's E-mail Address
- BEEGLE@CALCOMM.ORG
City NEWPORT BEACH State CA
Zip F2663 TAl.ni,....eonoono cI
APPLICANT'S NAME
Last
Applicant's Address
3122 ALCALDE DRIVE SUITE E
.......... .............._..
City LAGUNA HILLS State CA
ARCHITECT/DESIGNER'S NAME
First
Applicant's E-mail Address
OM@VASININC.COM
Zip 92653 Telephone49-382-6366
LastlN/A
First �--
Architect/Designer's Address ---
City
_ State F�'
ENGINEER'S NAME
Lic. No. F----
Architect/Designer's E-mail Address
Zips Telephone—
LastN/A
Engineer's Address
City
State
CONTRACTOR'S NAME/COMPANY
First Lic. No.F —
Engineer's E-mail Address
Zip Telephone
ASIN SIGN SOLUTIONS INC Lic. No. 852671
Vontractor'sAddr
ess2 ALCALDE DRIVE SUITE E Contractor's E-mail Address
OM@VASININC.COM
City LAGUNA HILL State FCA'
Zip 92653 Telephone 49-382-6366
I SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO,
PLAN CHECK FEES $
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