HomeMy WebLinkAboutM2019-0014 - Permit Application0318-,2011 M017-00/4
xm Worksheet for Combo Building & Solar Permit Application �0•"
-omm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r–Building r–Grading
r–Drainage r–Elec r–Mech r–PlumCu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r— Flood j— Fire i— Liq j— Landslide ° 10P.AESCI�
�ZI1a� 14 A0 nu � F PRT qF
Description ofWork
t
UseF—ConstType
U
v`6�
# Stories # Units (if Res)s
Ift
�r�
RV
Valuation $
Material/Labor
New/Add SF�—
Remo F Garage/New/Add �—
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
I Vol LAM
50
City I NMEO-1�6w�l State— Zip TelephoneF—
APPLICANT'S NAME
Last CHUNG First PACQUELYN
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
JACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER
State CALIFORI` Zip 92683 Telephone949.631.3121
ARCHITECT/DESIGNER'S NAME Last First I--�—
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F_ .Telephone
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 714.717.7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK AND PIER BUILDERS, INC. Lic. No. 797052 Class FA
Contractor's Address
Contractor's E-mail Address
6351 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER
State CALIFORh Zip 92683 Telephone 949.631 .3121
SETBACKS REAR
QQ
SETBACKS FRONT PERMIT NO. ��� 1 • ��� .
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. OSISJAII
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $