HomeMy WebLinkAboutM2019-0061 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application fW
r Comm'[ r Residential City of Newport Beach - Building Division 61,20e9-0068 f;
d%i28•,2OIQ NOTE: PLAN CHECK FEES DUE AT TIME OFSUBNB'��l IT 1A/(1RKQ "~�^"^
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Description of Work
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# StoriesF_ # Units (if Res)F_
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Valuation $ Fol00
Material/Labor
New/Add SF_Remodel SF � Garage/New/Add �—
OWNER'S NAME Last
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Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last MORALES First MARISSA
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
MARISSA@SWIFTSLIPDOCKS.COM
City ESTMINSTER
State CAZip 92683 Telephone 949-631-3121
ARCHITECT/DESIGNER'S NAME
Last First �— Lic. No, I
Architect/Designees Address
Architect/Designer's E-mail Address
City �
State,. F— Zip r Telephoned
ENGINEER'S NAME Last
trov First Urrle�} i Lic. No.
Engineer's Address
Engineer's E-mail Address
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State � A Zip F -2-(611 Te lephoneFW1TT-T5 Z
CONTRACTOR'S NAME/COMPANY
SWIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 797052 Class A
Contractor's Address
Contractor's E-mail Address
6351 INDUSTRY WAY
MARISSA@SWIFTSLIPDOCKS.COM
City ESTMINSTER
State CA Zip 92683 Telephone 949-631-3121
SETBACKS REAR
SETBACKS FRONT PERMIT NO. It/ `t o `y _ b t)
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. t 7 ZC _ ZO
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $