HomeMy WebLinkAboutX2012-1726 - Permit ApplicationPrint Form 1
j5Z Comm'I r- Residgnial,
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
MOf�: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
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rBuilding r Grading rDrainage rElec j-Mech F- Plum cuYdCut F CuYdFill F
Project mating idlress)
Floor suite No
551 NewNort'Center Dr. Ntrwrpbi t Beach, CA 92660.6937 F �-
Description of Work
Use F
Installing additional pin mounted 11"nnn-illuminated letters (sign)
on existing monument
- inder existing "CHASE" channel letter sQt I etters set will read "Chase
121rivate Client" Therewill
# Stories #Units (if Res)
be no change in size of monument.
Valuation $ 2,000.00
Material/Labor
New/Add SF 16 Remodel SF �— Garage/New/Add I®
OWNER'S NAME Last IJPMorgan Chase
First
Owner's Address
Owner's E-mail Address
1111 Polaris Parkway
City Columbus State OH
Zip 43240 Telephone 614-248-1172
APPLICANT'S NAME Last Palesano
First Jennifer
Applicant's Address
Applicant's E-mail Address
1108 South 4th Street Suite 200
jpalesano@nwsignindustries.com
City Chickasha State OK
Zip 73018 Telephone F405-224-7788
ARCHITECT/DESIGNER'S NAME Last
First �® -a-- Lic. No. F®
Architect/Designer's Address
Architect/Designer's E-mail Address
City I State F_
Zip F_Telephone
ENGINEER'S NAME Last
First r----- Lic. No.IO-®-
Engineer's Address
Engineer's E-mail Address
City State
Zip F_ Telephone F—
CONTRACTOR'S NAME/COMPANY NW Sign Industries
Lic. No. 907683 Class C45
Contractor's Address
Contractor's E-mail Address
360 Crider Avenue
rbrodie@nwsignindustries.com
City Moorestown State NJ
zip 08057 Telephone 856-802-1677
ENERGY P/C FEE $ FIRE P/C FEE $ PEA!® PERMIT NO. Q Z lIO
GRADING P/C FEE $ PLANNING P/C FE
PLAN CHECK'MO. I a4N - r o
ELEC/PLUM/MECH P/C FEE $
7 2012 PLAN CHECK FEE $ � �., �:rd-
DEVELOPMENT # .,i-i�•C7F`
TOTAL FEES PAID $