HomeMy WebLinkAboutM2019-0046 - Permit ApplicationMIM(I- ®UTP
Print Form WorlCshret for Combo Building & Solar Permit Application
1 Cit of Newport Beach - Building Division
r Comm'I r Residential ( y P 9
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,Building r Grading
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rainage r Elec r Mach r plum Cu Yd CutF— cu Yd Fill
Project Address (Not mailing address) F Flood r Fir iq r Landslide rN/A Floor Suite No
1033 QDO NK
-,tAWE �--- I --
De cription of Work
Use F—Const Type F_
61(l
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# Stories # Units (if Res)F_
uation
Val$Materlal/Labor
1A G1 OaoTanc
New/Add SF Remodel SF�— Garage/New/Add
OWNER'S NAME Last
PjE�� First �A
Owner's Address
(Q 3 3 Udo Pa`k,
Owner's E-mail Address
DAve, i Lieu @ lidDPaYVplar.P_, cvm
City r )
StateG1— Zip q21 (05 Telephone qt q- ?z-WCO
APPLICANT'S NAME Last
Applicant's Address
HUNG First ACQUELYN
Applicant's E-mail Address
351 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER
state CALIFORh Zip 92683 Telephoner949.631.3121
ARCHITECT/DESIGNER'S NAME
LastFirst
n Lic. No. �—
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City
State �_ Zip �— TelephoneF —
ENGINEER'S NAME Last PETROV First PLAMEN Lic. No. 6947
Engineer's Address
Engineer's E-mail Address
8191 CASITAS COURT
P.PETROV@PMA-BG.COM
City LAGUNA NIGUEL
State CALIFORr Zip 2677 Telephone714.717.7542
CONTRACTOR'S NAME/COMPANY
ISWIFT SLIP DOCK AND PIER BUILDERS, INC. Lic. No. 97052 Classy{
Contractor's Address
Contractor's E-mail Address
635.1 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER
State ALIFORD Zip O2683 Telephone49.631.3121
SETBACKS REAR
SETBACKS FRONT' PERMIT NO. l l�
SETBACKS LEFT
_
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $