HomeMy WebLinkAboutM2021-0001 - Permit Application—_Print Fo
rm Worksheet for Combo Building & Solar Permit Application cn%,�t,
F_ Comm] � Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building j— Grading
rDrainage Ix Elec r Mech r Plum Cu yd Cuts Cu Yd Fill s
Project Address (Not mailing address) F_ Flood F_ Fire r" Liq F_ Landslide rN/A Floor Suite No
626 Via Lido Nord.�—
Description of Work
Use Singh ConstType VB
# Storiess # Units (if Resf
Design,supply arid in5l.all of
new concrete floating dock and plie supportedi
Valuation S $239,307
Material/Labor
New/Add SF�—
Remodel SF Garage/New/Add
OWNER'S NAME
Last De Angelo First Raymond
Owner's Address
Owner's E-mail Address
626 Via Lido Nord
rdangelol@gmail.com
City Newport Beach
State CA Zip 92663 Telephone 714 329 8669
APPLICANT'S NAME
Last Pokhrel First Usmita
Applicant's Address
Applicant's E-mail Address
8810 Sperling lane
upokhrel@bellingham-marne.com
City Dixon
State CA Zip 95620 Telephone 707-761-4192
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City
_ State F Zip F— Telephoned.
ENGINEER'S NAME
Last Burnazyan First Gegam Lic. No. 76761
Engineer's Address
Engineer's E-mail Address
7621 Louise Ave
City Northridge
State CA Zip 91406 Telephone 818 522 3181
CONTRACTOR'S NAME/COMPANY Bellingham Marine Industries Lic. No. 442499 Class
Contractor's Address
Contractor's E-mail Address
Bellingham Marine Industries upokhrel@bellingham-marine.com
City Dixon
State CA Zip 95620 Telephone 707-761-4192
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGH PLAN CHECK NO. 00
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $