HomeMy WebLinkAboutM2020-0038 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application03v//
r Comm'I .K Residential CRY of Newport Beach - Building Division 1
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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APPLICANT'S NAME Last n'®/r— alp
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Applicants Address Applicants E-mail Address
6351 INDUSTRY WAY
hur i SS�i@,Swi��fi
City WESTMINSTER State CA Zip 102660 Telepho}
ARCHITECT/DESIGNER'S NAME Last I F —
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8)631-3121
Lic. No. �r
Architect/Designer sAddress Architeet/Dealgner's E-mail Address
City I — State �— Zip I— TelephoneF —
ENGINEER'S NAME Last PET ROV First PLAMEN
Lic. No. 66947
Engineer's Address Engineer's E-mail Address
28181 CASITAS COURT P.PETROV�PMA-BO.COM
City LAGUNA NIGUEL State CA Zip F92667 Telephone (714)717-7542
CONTRACTOR'S NAME/COMPANY SWIFT BLIP AND PIER BUILDERS, INC Lic. No. 797052 Class
Contractor's Address Contractor's E-mail Address
6351 INDUSTRY WAY y
mariSs�� @SU��ftsiipdoc�s ccm
City WESTMINSTER State CA ZIP 92683 Telephone (849)831-3121
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE
DEVELOPMENT NtY NIX .
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $