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HomeMy WebLinkAboutXC2024-0070 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application �,`Poga City of Newport Beach -Building Division IX Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding F_ Grading F-Drainage F_Elec r-Mech j-Plum CuYdCut CuYdFill F Project Address (Not mailing address) r Flood F_ Fire r Liq F_ Landslide FN/A Floor Suite No 1200 W COAST HWY I — Description of Work Use F—Const Type r REFURBISH (1) EXISTING GROIIND SIGN # Storiesr— # Units (if Res)r— Valuation $ 5000 Material/Labor New/Add SFr Remodel SFr— Garage/New/Addy— OWNERS NAME Last MARDIKIAN FirstALBERT Owner's Address Owner's E-mail Address 4 SAINT PIERRE City NEWPORTCOAST State CA Zip 92657 Telephone 714-401-6160 APPLICANT'S NAME Last YBARRA First RYAN Applicant's Address Applicant's E-mail Address 646 W WILLIAMSON AVE, RYANSPERMITS@GMAIL.COM City FULLERTON State CA Zip 92832 Telephone 9513102896 ARCHITECT/DESIGNER'S NAME Last First — �— Lic No. Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F_ Telephoned ENGINEER'S NAME Last First— Lic. No.1— Engineer's Address Engineer's E-mail Address City State F Zip F_— TelephoneF_ CONTRACTOR'S NAME/COMPANY ORANGE COUNTY SIGNS Lic. No. 1064067 Class 445 Contractor's Address Contractor's E-mail Address 646 W WILLIAMSON AVE, RYANSPERMITS@GMAIL.COM City FULLERTON State CA Zip 92832 Telephone 9513102896 SETBACKS REAR SETBACKS FRONT PERMIT NO. )(r— -0070 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.pGZvj,� USE ZONE 3Q DEVELOPMENT NO ZO 'O° PLAN CHECK FEES $