HomeMy WebLinkAboutM2019-0064 - Permit ApplicationIt?200q-00134
firrintgz�ru Worksheet for Combo Building & Solar Permit Application ori
/86'9-019 y of Newport Beach - Building Div! si ' 'R
Comm I r Residentia NOTE: PLAN CHECK FEES DUE AT TIME OF SU�N6RLIC WORKS G.;.�a�,�
CBullding r. Grading rDrainage (-Flet [;Meth [- Plum cuvd+JARBORY` URM',l f
I
Project Address (Not mailing address) C C Flood Fire L I N/A
X3 l�iwc�c� Isle. �'ewpovf 13eac-h ,GN SZ660 ,--)r6Mf
Description of Work
i2¢IMOV� �(� SAX 41i frNC/�r/ G,G1��I� (4((rovcv,0e. gC'rC4Lp��iC'-
Use F Const Type F
# StoriesF—# Units (if Res)
2 o 553i f i�c� abd tki 6-J( t Y K
Valuation $ Z
New/Add SFF- Remodel SF� Garage/New/Add Material/Labor
rg 7, OWNER'S NAME Last A u o_ lC 2 I to K First R 0 ut
Owner's Address Owner's E-mail Address
TlJ "dc-vl� oh�ia u.lyey ss voices. �ovn
CityBee-C✓7 State Cil Zip 92660 Telephone 91/ `J. 303. `r82f
APPLICANT'S NAME Last
Applicant's Address _
6351 INDUSTRY WAY
City WESTMINSTER State CA
ARCHITECT/DESIGNER'S NAME Last
First IMARISSA
Applicant's E-mail Address
MARISSA@SW IFTSLIPDOCKS.COM
Zip 92683 Telephone 949-631-3121
First F� Lic No.
Architect/Designees Address ArchitacUDesigner's E-mail Address
City State �— Zip[_ Telephoned'.
ENGINEER'S NAME Last PETROV First PLAMEN Lic. No. 66947
Engineer's Address Engineer's E-mail Address
28191 CASITAS COURT P.PETROV@PMA-BG.COM
City LAGUNA NIGUEL State CA Zip 92677 Telephone 714-717-7542
CONTRACTOR'S NAME/COMPANY
SWIFT SLIP DOCK AND PIER BUILDERS, IN6
Lic. No. 797052 '!, Class(A
Contractor's Address Contractoi s E-mail Address
6351 INDUSTRY WAY
City WESTMINSTER State CA
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
Zip ,92683 Telephone Fq49-631-3121
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $