HomeMy WebLinkAboutX2021-1526 - Permit Application (2)Print Form Worksheet for Building Combo Permit Application '
®r.6Z Comm'I r Residential City of Newport Beach - Building Divisio
NOTE:
PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
UZBuilding r- Grading r-Drainage F Elec F Mech f- Plum cuvdCut s-- cevdFill
Project Address (Not mailing address)
Floor Suite No
2750 West Coast Highway j r-
Description of Work
Lighting Upgrade: Install (4) pole mounted fixtures. Install
Use Fa(
,Exterior
6) canopy
py mounted fixtures.
'Replace (7) canopy mounted fixtures Replace (2) wall mounted fixtures Remove (1) flood
It Stories # Units (if ResF 0
mounted fixture -patch & paint. Remove (2) canopy mounted fixtures -patch & paint. Remove (1)
Di
�
Valuation$ 20�
Material/Labor000.00
New/AddSF10Remodel SF Garage/New/AddF0
OWNER'S NAME Last lWells Fargo First
Owner's Address Owner's E-mail Address
1 Home Campus, 5th Floor
City Dyes Moines State IA Zip 50328 Telephonei(915)
85_— 2-6156
APPLICANT'S NAME Last First Timothy Mit&X llrb -
Applicant's Address l� �Applicant''s E-mail Address
yh.
SI'E) W kJ(—vv l/ a@bureauvedtas.com
at hp2 •5b1 •'I113
I State F1TL( Zip 17815 ei2�t�(pTelephonel(5"r'$60-3ts- -
ARCHITECT/DESIGNER'S NAME
Last First F_ Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City F State F_Zip r` Telephone[ —
ENGINEER'S NAME Last Sander First Neil Lic No. C66470
Engineer's Address Engineer's E-mail Address
102 Farnsworth Avenue Independence@indepeng.com
City IBordertown State NJ Zip 08505 Telephone (609) 496-9369
—
CONTRACTOR'S NAME/COMPANY JCennox Lic No 921843 Class CIO
Contractor's Address Contractor's E-mail Address
13010 Santa Fe Ct
- - — City Missoula State Mt Zip 59808 Telephone l(915) 852-6156
ENERGY P/C FEE $ FIRE P/C FEE $ - PERMIT NO. W211 • 1 52yo
GRADING P/C FEE $ PLANNING P/C FEE $ PLAN CHECK NO. 1�2q2,Uss
ELEC/PLUM/MECH P/C FEES PLAN CHECK FEE $ It 50.11
DEVELOPMENT # TOTAL FEES PAID $