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HomeMy WebLinkAboutX2021-0657 - Permit ApplicationX ��,1.. D��1 PYint Form Worksheet for Combo Building & Solar Permit Application r, Comm'I F- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FX -Building [Grading r'Drainage r'Elec r'Mech rl Plum Cu Yd Cut Cu Yd Fill s' Project Address (Not mailing address) F -i Flood r Fire 17 Liq r Landslide F_N/A Floor Suite No 3050 East Coast Hwy Description of Work 0 V Use F_', Const Type Figns "2'61/2"wh14'10 ' Illuminated wall sign 1/2"w (N3),2 illumin ted channel letter/logo on raceway # Stories # Units (if Res)F 2 1/2"h 137 7/8"w & N2), 1 illuminated 24"h 24"w Reface x (N1 wall sign x (N5), existing pole sign Valua on Materii 5400.00 New/Add SF Jg l y Remodel SFF_. Garage/New/Add F_', OWNER'S NAME Last Hugh Carson Family LLC i First Owner's Address Owner's E-mail Address 29 Chapital Carsoni@cox.net City San Clemente State CAZip 92672 -. Telephone 949-279-5508 - APPLICANT'S NAME Last AKC Permit Co/Kasey Clark First Applicant's Address Applicant's E-mail Address 15197 Lighthouse Lane info@akcservices.net City Lake Elsinore State CA Zip 92530. 1 Telephone 951-471-8419 Last NALic. No. ArRchitect/DesgneGAdd Address �_ hltect/D sFirst A igner's E� City State �, Zip F_ Zip ENGINEER'S NAME Last W First �Lic. No. F_ Engineer's Address E ineer's E-mail Address City '! State .. Zip IF— Telephoned CONTRACTOR'S NAME/COMPANY Loren Industries / Signs Lic. No. F455415 Class FC45 Contractor's Address Contractor's E-mail Address 12226 Coast Dr City Whittier State CA Zip F90601 Telephone 562-946-7545 SETBACKS REAR SETBACKS FRONT PERMIT NO.� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO..Z("� • Za L� USE ZONE DEVELOPMENTNO ` PLAN CHECK FEES $ e—YN--> qtr ice' -7L.. e- ,-, —1