HomeMy WebLinkAboutX2019-2378 - Permit Application4 `P�jnt dorm %'''i
X Comm'[ ❑ Residential
[X Building ❑ Grading
Project Address p
23'1w
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
[—Drainage [Elec r1.1Mech r7 Plum cuydcutF_l Cu Yd Fill
: mailing address)
2210 Newport Blvd, Newport Beach
Description of Work
New/Add SFF_
OWNER'S NAME
Remodel SF F ----j Garage/New/Add �—
Last
Owner's Address
NPBeach Marina LLC
City Dallas State TX -
First JChns
Owner's E-mail Address
Zip 75219
Floor Suite No
200. & 204
F ,
Use177
# StoriesF, # Units (if Res)F_I
Valuation $L 1$12,000.00
14-615-8590
APPLICANT'S NAME Last IGran don l First [Gregg
Applicants Address Applicant's E-mail Address
1700 W Anaheim Street greggg@superlorsigns.com
City Long Beach - State CA Zip 90813 Telephone 562-755-5102
ARCHITECT/DESIGNER'S NAME Last �— First 1�—; Lic. Nof—
Architect/Designer's Address Architect/Designer's E-mail Address
cit State —I Zip rTelephone
ENGINEER'S NAME Last 1-- First—', Lic No.F—I
Engineer's Address - - Engineer's E-mail Address
City State „Zip Telephone—
CONTRACTOR'S NAME/COMPANY Superior Electrical Advertising, Inc Lic. No. 271598 Class C45
Contractor's Address Contractor's E-mail Address
1700 W Anaheim Street greggg@superiorsigns.com
City Long Beach �I, State CA � Zip 90813 - � Telephone 562-495-3808
ENERGY P/C FEE $
GRADING P/C FEE $
FIRE P/C FEE $
PLANNING P/C FEE $
PERMIT NO.
PLAN CHECK
ELEC/PLUM/MECH P/C FEE $ PLAN CHECK FEE $
DEVELOPMENT# �q' fl?YL`2/ TOTAL FEES PAID $
0