HomeMy WebLinkAboutX2022-1154 - Permit Application)F. Print.Forrh Worksheet for Combo Building & Solar Permit Application
X Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT �OV/ 6�
FX-IBuilding r—, Grading (—Drainage
xi Elec r Mech r_ Plum Cu Yd Cutf Cu Yd Fill F
ject Address (Not mailing address) r—' FloodF —,Fire ri, Liq F7 Landslide FN/A Floor Suite No
Superior Ave F77 F77
7
tin of WoUse rk
F77
one iolluminated wall sign to replace the existing sign F i Const Type
#Storles7l # Units (if Res)
New/Add SFF7777 Remodel SFF—i
OWNER'S NAME Last IUS Bank
Owners Address
Valuation $
Garage/New/Add j Material/LaborF$3,000.00 li
First
Owner's E-mail Address
00 E Randolph St FI 43
City IChicago State F_ Zip 60601-6519 j Telephone(773) 318-6485
APPLICANT'S NAME Last
Applicant's Address
44 Federal Blvd
City San Diego State CA
First
Applicant's E-mail Address
Steve@signtech.com
Zip921 (619)5
9T__ TelephoneF
ARCHITECT/DESIGNER'S NAME Last
mtr__ i First t/ Lic. No.
Architect/Desig R is Address
city State F
Architect/Designer's E-mail Address
Z!P[—] Telephonel
ENGINEER'S NAME Last71
1, , , , First Lic. No
Engineer's Address Engineers E-mail Address
e
City State zipF Telephon
I F
CONTRACTOR'S NAME/COMPANY Signtech Electrical Advertising Lic, No.F
Class F 57406 C4
Contractor's Address
444 Federal Blvd
C San Diego State C
City FA I
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
Contractors E-mail Address
Zip 92102 --. Telephone(619) 527-6100
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $