HomeMy WebLinkAboutU2024-5102 - Permit ApplicationPrint Form__ Worksheet for Combo Building & Solar Permit Application 00�12
Comm'] n Residential City of Newport Beach - Building Division
NOTE- PLAN CHECK FFFA ni iF nr Tinnc nc m IDRAIrAl
wilding Grading nDrainage r7 Elec F Mech n Plum Cu Yd Cut F I Cu Yd Fill
Project Address (Not mailing address) ❑ Flood r7 Fire ❑ Liq [ Landslide [7N/A Floor Suite No
Description of Work� —}r.ao }h¢,. r ,_•,_ `
Use n ConstType �I
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# Storiesn # Units (if Res)n
Valuation $
Material/Labor �I S00 " �d
t
- ------ -- --------- ---
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New/Add SF t 1 5 Remodel SF� Gara9 a/New/Add �J
y
OWNER'S NAME a W
�, `Last CA ,nC) First �{ izt
Owner's Address `� SG' ��A wner's E-mail Address
1J of VA, LeVVI
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City OJT (�,� st to
- ------ - — --- 1 Zip b Telephone ! 1-p -_Zt 5 j
APPLICANT'S NAME Last �'� pr gal
}� !— First
Applicant's AddreaALIBER SIGNS & IMAGING INC Applicant's E-mail Address
ARK CIRCLE SUITE M
- - ---1RVINE,-CA-9261-4.. -- 61)LPI �-.e �S t . V -
City State L J Zip Telephone
- - - ---- - -- -_ 4�,- (0 �7 C)
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
— ---- -----
city State Zip �� Telephonef---�
ENGINEER'S NAME Last First L J Lic. No. 7_7
Engineer's Address Engineer's E-mail Address
City State �— Zip � Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. �Z� Class
Contractor's Addr"LIBER SIGNS & IMAGING INC Contractor's E-mail Address
SUITE M
- ---IRVINErCA.92614 -----�lh�
City State 1 ZIP[ -7 Telephone 4[� 1 ()-7o
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $