HomeMy WebLinkAboutX2021-2909 - Permit Application (2)'Print FormWorksheet for Combo Building & Solar Permit Application
�i Comm'I rl Residential City of Newport Beach - Building Division XU?_1 ^ 24100)
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[IBuilding [7 Grading nDrainage ❑Elec ❑Meth ❑Plum Cu Yd Cut l _ Cu Yd Fill
Project Address (Not mailing address) ❑ Flood C Fire ❑ Liq ❑ Landslide [7N/A Floor Suite No
1016 Irvine Ave
Description of Work Use F7 Const Type n
3 sets of illuminated channel letter / logo wall signs / 2 sets of doorvinyl
# Stories7l #Units (if Res)
k l v -
Valuation $a
800.00
New/Add SF�— Remodel SFF Garage/New/Add �— Material/Labor
OWNER'S NAME Last
Owner's Address
110 Innovation Dr
City IrVlne--.___J State CA J
APPLICANT'S NAME Last 1AKC Permit Cc
First
Owner's E-mail Address
Zip 1 92617] Telephone
First
Applicant's Address
Applicant's E-mail Address
15197 Lighthouse LaneJ
info@akcservices.net
State CA Zip 92530 Telephone9514718419
Lake Elsinore
City
-
—
ARCHITECT/DESIGNER'S NAME Last N/A _ J First—
Lic. No.—�
Architect/Designer's Address
— --
ArchitectlDesigner's E-mail Address
City
State F I Zip F— Telephone—
ENGINEER'S NAME
Last N/A First
Lic No. I
[77777�—
Engineer's Address
Engineer's E-mail Address
State
F
Zip
�l
Telephonecityd—
Lic No. 654238 l Class445
CONTRACTOR'S NAME/COMPANY
Coast Sign
Contractor's Address
Contractor's E-mail Address
1500 West Embassy St
Jennifer.herrera@coastsign.com
9Anaheim
StateCA
Zip
92530
Telephone
714-520 9144
City
SETBACKS REAR SETBACKS FRONT PERMIT NO../�'I�f) !� '!/
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 2
USE ZONE DEVELOPMENT NO I;02 •05 PLAN CHECK FEES $ i01
n'10 4 ZO?'i