HomeMy WebLinkAboutX2021-0341 - Permit ApplicationPhi it Form
Worksheet for Combo Building & Solar Permit Appiicatlon
(5Z; Comm'I C Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FRuilding C Grading [Drainage C Elec C' Mech r Plum Cu ye' cud-7 Cu vd Fill n
Project Address (Not mailing address) C- Flood C, Fire C Liq C' Landslide CN/A Floor
1 HOAG DRIVE NEWPORT BEACH, CA 92663- SOUTH ENTRANCE
Suite No
Description of Work
Use I Const Type I
# Stories)— # Units (if Res)r
ILLLUCOGNITION SIGN
NON -ILLUMINATED L t `di • a a 1 q- ie
New/Add SFI26 Remodel SFI
%.1
Garage/New/Add Material/Labor
11,965.00
OWNER'S NAME Last IHOAG HOSPITAL First
Owner's Address
1 HOAG DRIVE
City INEWPORT BEACH
State ICA
Owner's E-mail Address
'AGENT: JBEEGLE@CALCOMM.ORG
Zip I92663
Telephone 949-650-0040
APPLICANT'S NAME
Applicants Address
Last VASIN
123122 ALCALDE DRIVE SUITE E
City ILAGUNA HILLS
First THOMAS
Applicant's E-mail Address
TOM@VASININC.COM
State ICA Zip I92653 TelephoneI949-382-6366
ARCHITECT/DESIGNER'S NAME
Architect/Designer's Address
Last (VASIN
23122 ALCALDE DRIVE SUITE E
City ILAGUNA HILLS
First TOM Lic. No. 852671
Architect/Designer's E-mail Address
TOM@VASINI NC.COM
State CA Zip 92653 I TelephoneI949-382-6366
ENGINEER'S NAME
Engineer's Address
Last)
City I
State I Zip
First
Engineer's E-mail Address
Lic. No.[
Telephone)
CONTRACTOR'S NAME/COMPANY (VASIN SIGN SOLUTIONS INC Lic. No. I852671 ; Class C45
Contractor's Address Contractor's E-mail Address
123122 ALCALDE DRIVE SUITE E
City LAGUNA HILLS
TOM@VASININC.COM
State CA Zip 92653
TelephoneI949-382-6366
SETBACKS REAR SETBACKS FRONT PERMIT NO. 1-
SETBACKS LEFT SETBACKS RIGHT PLAN CHEa NO. Ob--1 ED,.1 Dn.-4
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 2-sk h\ cc,
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