HomeMy WebLinkAboutM2017-0058 - Permit Applicationpaint Form Worksheet for Combo Building & Solar Permit Application
r; Comm'I [-I Re4iiibftt bll I n�s� City of Newport Beach - Building Divasion
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-,,Building [ Grading [-Drainage rX_Elec [-Mech x Plum cuvdcut F CuvdFill
Project Address (Not mailing address) [- Flood rx-, Fire [- Landslide [-N/A�
', Liq [- Floor Suite No
nsl�a8, Newport Beach, CA 92663
Description of Work a Use Docks'- Const Type Timber
Demo 2,356 SF timber docks including 28 piles, 8 ga gways, and utilities. Install 1,876 SF docks; 1
54 piles; I ADA gangway p standaii il ga ce s p; new dockside# Stories', # Units (if Res)
landside utilities including fire service RPDA, potable backflow, and electrical; and restripe.
New/Add SFF— Remodel SF F',, Garage/New/Add
OWNER'S NAME Last lCurci FirstIMichael - r
Owner's Address Owner's E-mail Address
717 Lido Park Driveann@curcicompanies.com; michael@curcicompanies.com
city New ort Beach State CA Zip 92663 Telephone 949-673-1060
APPLICANT'S NAME Last IMassabki
First
Applicant's Address Applicant's E-mail Address
7755 Center Avenue, Suite 1060 fmassabki@anchorgea.com
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City Huntington Beach State C 92
A Zip 647 Telephone 657-227 7457
ARCHITECT/DESIGNER'S NAME Last
First! Lic. No.F77777
ArchitectIDesigner's Address Architect/Designer's E-mail Address
City State F _— Zip F Telephonel—
ENGINEER'S NAME Last Mason First Randy Lic. No. C 30661
Engineer's Address Engineer's E-mail Address
7755 Center Avenue, Suite 1060Ii[-mason@anchorqea.com
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City Huntington Beach State CA Zip 92647 Telephone 657-227-7454
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CONTRACTOR'S NAME/COMPANY Lic. No. Class,
Contractor's Address Contractor's E-mail Address
.
City State �Zip F Telephone[ r1 - p l47,0
SETBACKS REAR SETBACKS FRONT PERMIT NO. / kku I/1, Q 0
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1x-61 Ch /to 11
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $