HomeMy WebLinkAboutM2019-0057 - Permit Application"nq'0,51
Print Fo m Worksheet for Combo Building & Solar Permit Application
r Comm'l Residential City of Newport Beach - Building Div(%I,�n' '
NOTE: PLAN CHECK FEES DUE AT" OF IBILIC WORKS
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OWNER'S NAME Lastj jUq y 31qpy$S First VhtmuWL1� 7�,
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Owner's Address Owner's E-mail Address
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APPLICANTS NAME Last CHUNG First UACQUELYN
Applicant's Address Applicant's E-mail Address
351 INDUSTRY WAY ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER State CALIFORI, ZIP 92683 Telephone 49.631.3121
ARCHITECT/DESIONER'S NAME Lays r First �—
I Lic. No. Architect/Designers Address Archltect/Deslgnees E-mail Address
city State F—
Zip I Telephones
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 ALIFORh Zip 2677 Telephone714.717.7542
CONTRACTOR'S NAME/COMPANY WIFT SLIP DOCK AND PIER BUILDERS, INC. LIC. No. 97052 Class AF
Contractor's Address Contractor's E-mail Address
351 INDUSTRY WAY ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER State ALIFORh Zip 2683 Telephone 949.831.3121
SETBACKS REAR SETBACKS FRONT PERMIT NO. k5,0 �(QVs-7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $