HomeMy WebLinkAboutXC2024-0182 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4'``ti°nte
[9 Comm'I Residential
City of Newport Beach - Building Division �)
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading
F—Drainage I— Elec r' Mech
F Plum CuYdCut CuvdFill F
Project Address (Not mailing address) F_ Flood
r Fire I— Liq r Landslide F_N/A Floor Suite No
280 Bison Ave
I 10
Description of Work
Use ConstType
ne wall sign individual letters
illuminated
# Stories #Units (if Res)
500
New/Add SF
Remodel SF Garage/New/Add �—
Valuation $
Material/Labor
OWNER'S NAME
Last
First Pmar
Owner's Address
Owner's E-mail Address
280 Bison Ave
City ewport beach
State A
Zip F_ Telephone 14-341-8968
APPLICANTS NAME
Last Parriga
First braham
Applicant's Address
Applicant's E-mail Address
658 Griffith Park Blvd 396
brbarriga@gmail.com
City os Angeles
State F
Zip 0039 Telephone 23-445-1916
ARCHITECT/DESIGNER'S NAME Last First F F—
Lic. No.
Architect/Designer's Address
�SiL/
�
ecUDesigner's E-mail Address
City
State F_
Zip F_ Telephoned
ENGINEER'S NAME
Last
First F_ Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City I
State I
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY olden State Signs
Lic. No. 02455 Class 45
Contractor's Address
Contractor's E-mail Address
658 Griffith Park Blvd 396
brbarriga@gmail.com
City os Angeles
State FA_
Zip r539Telephone 23-445-1916
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO,
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $