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HomeMy WebLinkAboutM2023-0005 - Permit Applicationr,Y1 2�23 - 0 0o S Print Form Worksheet for Combo Building & Solar Permit Application r Comm'I r Residential City of Newport Beach - Building Divis' ���pp�� NOTE: PLAN CHECK FEES DUE AT TIME OF SPW/IBL'C WORKq jX Building r Grading rDrainage r Elec r Mech r Plum Cuv'q iT'►fl BOq fyt'RM IT Project Address (Not mailing address) r Flood r Firer r Landslide rN/A Floor Suite No 1120 W BAY AVE PQ5 TF T B ACH! Description of Work Use ConstType REMOVE AND REPLACE EXISTING (2) CONCRETE PILE LIKF FOR I IKE RF-DFCK FXNTINC # Storiess # Units (if Res)[ — DOCK FLOATING AND PIER ONLY. NO OTHER WORK PROPOSED. Valuation $ 46,000 Material/Labor New/Add SFF_ Remodel SFs Garage/New/Add OWNER'S NAME Last LONGMAN First JEFF Owner's Address Owner's E-mail Address 1120 W BAY AVE City NEWPORT BEACH State CA Zip 92661 Telephone 949-631-3121 APPLICANT'S NAME Last MORALES First I MARISSA Applicant's Address Applicant's E-mail Address 6351 INDUSTRY WAY MARISSA@SWIFTSLIPDOCKS.COM City WESTMINSTER State CA Zip 92683 Telephone 949-631-3121 ARCHITECT/DESIGNER'S NAME Last First F Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address City State Zip F— Telephones ENGINEER'S NAME Last PETROV First PLAMEN Lic. No. 66947 Engineers Address Engineers E-mail Address 28191 CASITAS COURT P.PETROV@PMA-BG.COM City LAGUNA NIGUEL State CA Zip 92677 Telephone 714-717-7542 CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 797052 Class Contractor's Address Contractor's E-mail Address 6351 INDUSTRY WAY MARISSA@SWIFTSLIPDOCKS.COM City WESTMINSTER State CA Zip 92683 Telephone 949-631-3121 SETBACKS REAR SETBACKS FRONT PERMIT NO. Iiq/l,0'Vj " occs SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USEZONE DEVELOPMENT NO PLAN CHECK FEES $