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HomeMy WebLinkAboutM2022-0003 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application C Comm'I [ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIMF OF SI IRMITTAI ;Building F_ Grading rDrainage [Elec CMech [Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) F_ Flood r Fire F_ Liq r Landslide F_N/A Floor Suite No 403 N Bay Front -- �- Description of Work Use F—ConstType PILES & REPLACE W/ (2) 14" X 7' & (1) 14" X 3' T-PILES. EXISTING DOCK PILES TO REMAIN # Stories # Units (if Res) New/AddSFr Valuation 85000 Remodel SFF —, Garage/New/Add Material/Labor bor ' OWNER'S NAME Last FORBES First TONY Owner's Address Owner's E-mail Address 403 N BAY FRONT . .._. ton forbes2559 Y @gmail.com City NEWPORT BEACH State CA Zip 92661 Telephone 949-631-3121 APPLICANT'S NAME Last OCAMPO First RANDY Applicant's Address Applicant's E-mail Address 6351 INDUSTRY WAY RANDY@SWIFTSLIPDOCKS.COM City WESTMINSTER State CA Zip 92683 Telephone 949-631-3121 ARCH ITECT/DESIGNER'SNAME Last First —: Lic. No.F-- Architect/Designers Address ArchitectlDesigner's E-mail Address city I State � Zip F-- Telephone — ENGINEER'S NAME Last PETROV First FMIEN _ Lic. No.66947 Engineer's Address Engineer's 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 RANDY@SWIFTSLIPDOCKS.COM City WESTMINSTER State CA Zip 92683 Telephone 949-631-3121 SETBACKS REAR SETBACKS FRONT PERMIT NO. MZQ ZZ SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.'?t (� 7 *ZZ77/ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $