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HomeMy WebLinkAboutX2021-2185 - Permit Application (2)\�W"• 21Ss Print Form Worksheet for Combo Building & Solar Permit Application numem,Eomm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE ATTIME OFSURMITTaI Building (Grading (Drainage J�CElec j-Mech ("Plum Cu YdCut F_ CuvdFill F_ Project Address (Not mailing address) r- Flood r Fire r Liq r Landslide rN/A Floor Suite No 347 NEWPORT CENTER DRIVE F— F Description of Work INSTALL (1) ONE ILLUMINATED WALL SIGN= "LEVIS" Use ConstT e yP rJ�`i71r%CZi3t�161 `12ed;SF #Stories # Units (if Res)F (4vJ0 r, f1a - �Duw,ww -(T2� _ Q �� ?p�C o(JOW CAciat? E; ANN eTC ON (FXIS )-avy &r9Gke r = `7, 3SF New/AddSFs RemodelSFs-- Garage/New/Add — Valuation $ 7 Material/Labor Z -r00 OWNER'SNAME Last IRVINE COMPANY First Owner's Address Owner's E-mail Address 110 INNOVATION DRIVE City IRVINE State CA Zip 92612 Telephone 949-720-3100 APPLICANT'S NAME Last REICH First JEFF Applicant's Address Applicant's E-mail Address 12439 MAGNOLIA BLVD #113 SIGNPERMIT@GMAIL.COM city NO.HOLLYWOOD State CA Zip 91607 Telephone 818-675-5849 ARCHITECT/DESIGNER'S NAME Last First ��'. Lic. No. Architect/Designer's Address ArchitectIDesigner's E-mail Address City State F— Zip �— Telephoned ENGINEER'S NAME Last First �— Lic. No.�' Engineer's Address Engineer's E-mail Address City State �Zip Telephoned— CONTRACTOR'S NAME/COMPANY MALL SIGNS & SERVICE Lic. No. 811074 Class445 Contractor's Address Contractor's E-mail Address 12439 MAGNOLIA BLVD #113 MALLSGNSVC@AOL.COM city NO.HOLLYWOOD State CA Zip 91607 Telephone818-764-1909 SETBACKS REAR SETBACKS FRONT PERMIT NO. ri % (Qj f9 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $