HomeMy WebLinkAboutM2021-0018 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
r Comm'I PK Residential City of Newport Beach - Building Division Zo a _ 00 I q
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building [' Grading F -Drainage [ Elec7 Mach r Plum c
Project Address (Not mailing address) F, Flood C Fire [ Liq
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New/Add SFr— Remodel SF I — Garage/New/Add I —
OWNER'S NAME Last I E c,
Owners Address
0 W First I 6 a. V e, f 4
Owners E-mail Address
Suite No
# StorlesF # Units (if Res)F
Valuation �I �®
Material/Labor 6�
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Zip I J266_3
Telephone 91,,9. 63/.3/2/
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APPLICANT'S NAME Last IMORALES First MARIRSA
Applicant's Address
6351 INDUSTRY WAY
City (WESTMINSTER State CA
ARCHITECT/DESIGNER'S NAME Last
Architect/Designees Address
Applicant's E-mail Address
MARISSA@SWIFTSLIPDOCKS.COM
Zip 92683 Telephone949-631-3121
First F— Llc. No. I—'
ArchitecUDesigner's E-mail Address
City �— State F— Zip �— Telephone[7��
ENGINEER'SNAME Last PETROV First PLAMEN Lic.No. 66947
Engineer's Address
28191 CASITAS COURT
City LAGUNA NIGUEL State CA
Engineer's E-mail Address
P.PETROV@PMA-BG.COM
Zip 92677 Telephone 714-717-7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK AND PIER BUILDERS, IN Lic. No. 797052 ClasslA —
Contractors Address
6351 INDUSTRY WAY
City WESTMINSTER State CA
Contractor's E-mail Address
MARISSA@S WIFTSLIPDOCKS,COM
Zip 92683 Telephone 949-631-3121
.........._ . ..._ .... _..
00 19
SETBACKS REAR SETBACKS FRONT PERMIT NO. MW Z'I
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. IOWA eUZI
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $