HomeMy WebLinkAboutM2019-0051 - Permit ApplicationPnmtFotm Worksheet for Combo Building & Solar Permit Application
r Comm'I IX Residential City of Newport Beach - Buildin DI i i
fF,Bulldlng
NOTE: PLAN CHECK FEES DUE AT TIMa on
E OF SUBMITTAL
I Grading r-Dralnage r Elec r Mach r- plum
91
9
Cu YdCutl Cu Yd Fill
r Flood r- Fire r Liq r Landslide
PV (Yn
New/Add SFF — Remodel SF�—
Garage/New/Add
OWNER'S NAME Last 0.l.1S
r -N/A Floor Suite No
F—Const Type
# Units (if Res)f
aborlYzo t
11'811 Witl -* "EaYA
Owner's Address
V
I a r� W �� s
Owner's E-mail Address
6 to
City � �yh�,.iq. State— �P
t mesa �l R2 Ael, Telephone Rt{q (v i �(
APPLICANT'S NAME Last HUNG
Applicant's Address First ACQUELYN
351 INDUSTRY WAY Applicants E-mail Address
FAC
F
City ESTMINSTER State PALIFM
ZIP 2683 Telephone 9.631.3121
Last
AR[HITECT/DESIgNER'S NAME --
��- First
Architect/Designees�--
Address LIC. No. F—
Archltect/Deeigner's E-mail Address
City I�- Zi
State p�- Telephone�-
ENGINEER'S NAME Last PETROV _
First LAMEN Lic. No. 6947
Engineer's Address
8191 UAW IAS COURT Engineer's E-mail Address
_ PBG.
.PETROV@PMA-COM
City LAGUNA NIGUEL State CALIFORb
Zip 2677 Telephone714.717.7542
CONTRACTOR'S NAME/COMPANY WIFT SLIP DOCK AND PIER BUILDERS, INC.
Lic. No. 97032 Class
Contractor's Address
351 INDUSTRY WAY Contractor's E-mail Address
_ ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER State ALIFORb
Zip 2683 Telephone 49.631.3121
fir_ I BACKS REAR SETBACKS FRONT
SETBACKS LEFT - PERMIT NO j
SETBACKS RIGHT
USE ZONE ---- �— PLAN CHECK I40.
DEVELOPMENT NO PLAN CHECK FEES $