HomeMy WebLinkAboutM2019-0017 - Permit ApplicationMho l q -cry 1-7
Print Form Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r' Grading
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Project Address (Not mailing address) f Flood r- Fire r Liq r- La�l{�O' 1 't`mrOF1 o DIVISION
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Des riptio Work
P/
Use ConstTyp JF
# Stories # Units (If Res)F
Valuation S
Material/Labor �O OM +'
New/Add SF
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Remodel SF l \ / Garage/New/Add �—
OWNER'S NAME
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Last IjFirst I 1� l
Ow er's Address
Owner's E-mail Address
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may-- a
city I 11Y�w State .--
Zip j(--Mwz TelephoneF —
APPLICANT'S NAME
Last CHUNG First ACQUELYN
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
JACQUELYN.CHUNG@SBCGLOBAL.NET
City FESTMINSTER
State CALIFORI` Zip 92683 Telephone 4'9:631.3121
ARCHITECT/DESIGNER'S NAME Last First I__ Llc. No. �—
Architect/Designees Address
Architect/Designees E-mail Address
City �V
�r State �•— Zip! Telephonal
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 CALIFORh Zip 92677 Telephone 14.717.7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK AND PIER BUILDERS, INC. Lic. No. 797052 ClassF—
Contractor's Address
Contractor's E-mail Address
6351 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER
State CALIFORN Zip 92683 Telephone 949.631.312^1
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 1 YU�� • ���I
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 652-1. 24
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $