HomeMy WebLinkAboutX2019-1883 - Permit Applicationr Comm'I r Residential
Worksheet for Building Combo Permit Application�'e
City of Newport Beach - Building Division �Y Zo 1+1 _ $�
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL N uG<,�oa���
r,Building rGrading
rDrainage rElec rMech f7 Plum Cu Yd Cut(� Cu Yd Fill)
I LLL
Project *dress (Not mailing address)
Floor Suite No
333 Bayside Drive
F—
Description of Work
Use F
Refurbish one (1) pole sign with new faces and L.E.D. illuminated channel letters, two (2) non- 1:
# R,nes1_ # Units (if Res)
illuminated wall signs and one
cabinet reface.
(
Valuation $ 20,000.00
Material/Labor
New/Add SFF—I
Remodel SFF— Garage/New/AdO F—
OWNER'S NAME
Last Wilhelm First FDavid
Owner's Address
Owners E-mail Address
333 Bayside Drive
dwilhelm@tavernhousekb.com
City Newport Beach
State CA Zip 92660 Telephone (949) 218-8707
APPLICANTS NAME
Last Grandon - First Gregg
Applicant's Address
Applicants E-mail Address
1700 W Anaheim St
greggg@superiorsigns.com
City Long Beach
State CA Zip 92708 Telephone562-755-5102
ARCHITECT/DESIGNER'S NAME
Last First F_ Lic. No. (�
ArchitectIDesignees Address
Architect/Designers 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
State F Zip F TelephoneF—
CONTRACTOR'S NAME/COMPANY Superior Electrical Advertising, Inc. Lic. No. 271598 Class C45
Contractor's Address
Contractor's E-mail Address
1700 W Anaheim St
greggg@superiorsigns.com
City Long Beach
State CA Zip 92708 Telephone 562-755-5102
ENERGY PIC FEE $
FIRE P/C FEE $ PERMIT NO. x Z(� 0[� �� 3
GRADING PIC FEE $
PLANNING PIC FEE $ PLAN CHECK NO.
ELEC/PLUM/MECH PIC FEE $
PLAN CHECK FEES
DEVELOPMENT #
TOTAL FEES PAID $