HomeMy WebLinkAboutX2018-3776 - Permit Application—Pant Form -Worksheet for=Combo Building & Solar Permit Application
[ Comm'I [7 Re- sidential -City of Newport Beach Building Division, Q.� �0%8
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 019?- 3776
Building ❑Grading F -Drainage ❑Elec- [Mach r-IPlum Cu ydCutn cuyarillF
Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq CI Landslide ❑N/A Floor Suite No
1119 Newport Center Drive
of Work
(1) set of illuminated wall sign to read "Lilly Pulitzer" and (1) Blade sign
New/Add SFF —] RemodelSFF77777 Garage/New/Add
Use F-1 Const Type F
# StoriesF7 # Units (if Res)r
Valuation
Material/Labor
OWNER'S NAME
- Last First -
-
Owner's Address Owner's E-mail Address
City I State Zip F TelephonelII
APPLICANT'S NAME Last I Chau
Applicant's Address
15162 Goldenwest Cir
City Westminster J State CA
First) Jeannie
Applicant's E-mail Address
Jeannie@elitesignservices.com J
Zip 92683 Telephone 714-373-0220
ARCHITECT/DESIGNER'S NAME Last J First
Lic. No.
Architect/Designer's Address C- JA (U A - Architect/Designer's E-mail Address T, ✓v-�
City __71 State I J Zip F777 Telephoned,
ENGINEER'S NAME Last Sullaway EngineeringJ First Lic. No. C48688 -J
Engineer's Address
10815 Rancho Bernardo Rd Ste. 260
City San Diego, ---J State CA
Engineer's E-mail Address
J
Zip 92127 Telephone858-312-5150
CONTRACTOR'S NAME/COMPANY Elite Sign Services, Inc. -- Lic. No. 1025291)Class C-45
Contractor's Address
Elite Sign Services, Inc
City Westminster , State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
tim@elitesignservices.com 0+ ul
Zip 92683 J Telephone 714373 0220
PERMIT NO. X d6) d — 3
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $