HomeMy WebLinkAboutM2019-0060 - Permit Applicationma - UQU0
Worksheet for Combo Building & Solar Permit Application
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Description of Work
Use Const Type
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# Stories'-;, # Units (if Res)r—,
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Valuation $ q
Material/Labor �11
New/Add SF�, Remodel SFr-�
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OWNER'S NAME Last.. VALMejr
_ First LUbv-16-4 -
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Owner's Address
Owner's E-mail Address
140 Vi A UWo Nord
PalrYt rt�Gh � gm� i L . com
City N —ew PVi`I B$6((iil.... State I &Azip q'�(ar Telephone qi,R631 - 604 ,...,
APPLICANT'S NAME Last MORALES First MARISSA
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
MARISSA@SWIFTSLIPDOCKS.COM
City WESTMINSTER State CA
Zip 92683 Telephone 949-631-3121
ARCHITECT/DESIGNER'S NAME Last
First 7—Lic. No. F_
Architect/Designees Address
Architect/Designer's E-mail Address
City State �—;_ Zip r_, Telephone
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, IN 6 Lic. No. 797052 Class
Contractor's Address
Contractor's E-mail Address
6351 INDUSTRY WAY
MARISSA@SWIFTSLIPDOCKS.COM
City WESTMINSTER State CA
Zip 92683 Telephone 949-631-3121
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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