HomeMy WebLinkAboutM2019-0024 - Permit ApplicationPrintPormj Worksheet for Combo Building & Solar Per
City of Newport Beach - Building Division
F- Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBI
I—Building r Grading I—Drainage j—Elec
ct Address (Not malli
54 Gylonl
of Work
r Mech r- Plum Cu
r Flood r Fire r Llcl `
-Ftp- U Ksv
New/Add SF�— Remodel SFF7— Garage/New/Add �—
Ell
F_ ConstTypeF
ariesF— # Units (if Res)F
OWNER'S NAME Last First l l�l� �L✓
Owner's Address Owner's E-mail Address
City 6�PNdi��?A- 7,oA6 6 State I CA Zip I Telephone ±�, B ! IZbq
APPLICANT'S NAME Last
Applicant's Address
351 INDUSTRY WAY
City ESTMINSTER r State CALIFORP
ARCHITECT/DESIyNER'S NAME Last
Architect/Designer's Address
City
State F_
Applicant's E-mail Address
IJACQU EL'YN.CH UNG@SBCGLOBAL. NET
Zip 92683 Telephone 49.631.3121
First F� Lic. No. F_-
Architect/Designers E-mail Address
Zip F� TelephomeF---
ENGINEER'S NAME Last PETROV First PLAMEN Lic. No, 6947
Engineer's Address Engineer's E-mail Address
8191 CASITAS COURT 1P. PETROV@PMA-BG.coM
City LAGUNA NIGUEL State CALIFORI` Zip 92677 Telephone 714.717.7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK AND PIER BUILDERS, INC. Lic. No. 97052 ClassF
Contractor's Address Contractor's E-mail Address
6351 INDUSTRY WAY ACQUELYN.CHU.NG@SBCGLOBAL.NET
City ESTMINSTER State CALIFORD Zip 2683 Telephone 849,631.3121
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ----I
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $