HomeMy WebLinkAboutM2019-0075 - Permit ApplicationPrint Fgrm Worksheet for Combo Building & Solar Permit Application a"
r Comm'I R Residential City of Newport Beach - Building Division 2662 R )
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL / - „„J
P KBuilding r Grading rDrainage r Elec r Mech r Plum Cu Yd cuts Cu Yd FVC90rR
Project Address (Not mailing address) r Flood r Fire r Liq r Land'slicY'*4YKS
SuiteNo
400 :<vPr�a� sf Lc7, ✓�ew;,ca,fi ..�tt� C# Y26_6eHARBC1PER IT
Description of Work CITY O
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# Stories # Units f ss
New/Add SF1 Remodel SF valuations 000
Garage/New/Add Mater(al/Labor � /27
OWNER'S NAME Last I W H f "_ First ry .
Owner's Address Owner's E-mail Address(/
400�ilc u7l pl( SfGL �i i7. a-iq G LJA//e (.'0//i ['.r .0 0F'%
City ✓r@ w oev' zi ece44 State C
N Zip_ 926E 0 Telephone i9y9) 3 /g
APPLICANT'S NAME Last E'o vec
First I f%, c( cy1 c'
Applicant's Address Applicant's E-mail Address
6351 INDUSTRY WAY
cticR(llre ��Swrf'1v!/fac7°Ocis. CEWi,
City WESTMINSTER State CA Zip 92660 Telephone (949)631-3121
ARCHITECT/DESIGNER'S NAME Last �— First F�
Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State �_ Zip F_ Telephonef�
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 92667 Telephone (714)717-7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP AND PIER BUILDERS, INC Lic. No. 797052 Class
Contractor's Address Contractor's E-mail Address
6351 INDUSTRY WAY
City IWESTMINSTER State CA Zip 92683 Telephone(
949)631-3121
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $
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