HomeMy WebLinkAboutM2019-0052 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential NOTE:
City of Newport Beach -Building Division M 9,0/Q -00S2
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
GZBuilding r- Grading rDrainage j—Elec rMech FPlum cu Yd cut Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
F_ F—
13r�4 �.I�t,��A 3w� N'E�rVPC�12i ►3�Ac=�-1 a2rvc� 1
Description of Work
Use F—Const Type �—
#Stories # Units (if Res)F_
pgt✓m ±Mm
Un
Valuation $ VU
Z)New/Add
SF Remodel SFFGarage/New/AddF—
Material/Labor
OWNER'S NAME Last 'sNzi����� ~— First I S-MV)V •At-ZO
Owner's Address Owner's E-mail Address
130_y E. F>ALZI Ar'E3WU. GINzAi-AC,0 & SOL-c,OM
City NJEiN►_MT BGA 6U + State I 6A Zip Gj�( j Telephone 102.214- x-14
APPLICANT'S NAME Last MORALES First MARISSA
Applicant's Address Applicant's E-mail Address
6351 INDUSTRY WAY MARISSA@SWIFTSLIPDOCKS.COM
City FESTMINSTER State CA Zip 92683 Telephone949-631-3121
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
City I State F_ Zip I Telephonel�
ENGINEER'S NAME Last �— First [_ Lic. No.F—
Engineer's Address Engineer's E-mail Address
I
City State �— Zip Telephonel�
CONTRACTOR'S NAME/COMPANY WIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 97052 ClassF
Contractor's Address Contractor's E-mail Address
6351 INDUSTRY WAY MARISSA@SWIFTSLIPDOCKS.COM
City WESTMINSTER State CA Zip 2683 Telephone949-631-3121
SETBACKS REAR SETBACKS FRONT PERMIT NO. t�1V�/�'
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1400 s \
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $