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HomeMy WebLinkAboutM2019-0015 - Permit ApplicationPrint For Worksheet for Combo Building & Solar Permit Application es, r Comm'I r Residential dity of Newport Beach - Building Division NOTE: LAN CHECK FEES Dr1F AT TIME nF RI IIARAITTAI rBuilding rl Grading rDrainage r EI(c r Mach r Plum Cu rd CutF Cu Yd Fill Project Address (Not mailing addr�ss) r Flood r Fire r Liq rII��O$,�� L1,®N CI OF N WPORT 5� L N !JA ZS LE Description of Work Use Const Type Rtmoyt ADA Yf lm (2) I`i " �SAyAVf (00jyitt MArIIyi # Stories # Units (if Res)F �jViA.l bik � LIkE-FOR-Ilk'f Valuation S Garage/New/Add — Material/Labor1/0,000 � I �-- Remodel SF�— New/Add SF OWNER'S NAME . Last' v V ►ter l D First fAddressl V' Owner's Address i1 Owner's E-mail 51 Uvl q TSle _ CityNtwViOVi gfq C'n State; (NAME F Zip kl2�� U Telephone /I�/i� I ( I APPLICANT'S Last CHUNG First PACQUELYN Applicant's Address) Applicant's E-mail Address ACQUELYN.CHUNG@SBCGLOBAL.NET 351 INDUSTRY WAY City �VESTMINSTER State CALIFM Zip 92883 Telephone 49.631.3121 ARCHITECT/DESIGNER'S NAME Last_ First �— Lic. No. �— Architect/Designees Address I Architect/Designer's E-mail Address City F— State F— ZIP F Telephone— ENGINEER'S NAME Last PETROV First PLAMEN Lic. No. 6947 Engineer's Address � Engineer's E-mail Address P.PETROV@PMA-BG.COM 8191 CASITAS COURT City LAGUNA NIGUEL StateAUFQRP Zip 2677 Telephone 14.717.7542 CONTRACTOR'S NAME/COMPANY WIFT S IP DOCK AND PIER BUILDERS, INC. Lic. No.97052 Class Contractor's Address Contractor's E-mail Address ACQUELYN.CHUNG@SBCGLOBAL.NET 6351 INDUSTRY WAY City ESTMINST,ER State ALIFORh Zip 2683 Telephone948.631.3121 SETBACKS REAR SETBACKS F�tONT PERMIT NO. IV\ it l SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 031 q . 2O 1 q USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 1q.