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Print l orm Worksheet for Combo Building &Solar Permit Application m
City of Newport Beach - Building Division 5a.areJ
r Comm" rX Residential NOTE: PLAN CHECK FEES DUE AT TIME , SUBMITTAL
r Grading rDrainage r Elec r Mech (— Plum cuvda,t�
Cu Yd Fill
r' Building
Project Address (Not mailing address) r
Flood r Fire Liq r Landslide �N/A Floor
Suite
VIA LIDO SOUD
GANGWAY WITH AZEK 1X6 COMPOSITE DECKIN .
New/AddSF�—
OWNER'S NAME
Owner's Address
229 VIA LIDO SOLID
City NEWPORT BEACH
Remodel SF F--
Last
Garage/New/Add
First
Owner's E-mail Address
Use F ConstType
# StoriesF # Units (if Res)
IVa aerial La bor27,500
/
Materiala
3121949-631-Telephoe
State CA lip92663
APPLICANT'S NAME Last I MORALES
Applicant's Address
6351 INDUSTRY WAY
City WESTMINSTER
State CA
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's Address
First I MARI SSA
Applicant's E-mail Address
MARI SSA@SWIFTSLIPDOCKS. COM
Zip 92683 Telephone 949-631-3121
First F� Lic. No. �---
Architect/Designer's E-mail Address
State F_— Zip
Telephonel
City
ENGINEER'S NAME Last PETROV
First PLAMEN Lic. No. 66947
Engineer's Address
28191 CASITAS COURT
City LAGUNA NIGUEL
SWIFT SLIP DOCK & PIER BUILDERS, INC
Contractor's E-mail Address
MARISSA@SW IFTSLIPDOCKS. CO
State CA Zip F92683 Telephone 949-631-3121
CONTRACTOR'S NAME/COMPANY
Contractor's Address
6351 INDUSTRY WAY
City WESTMINSTER
SETBACKS REAR
SETBACKS LEFT
State CA
SETBACKS FRONT
SETBACKS RIGHT
Engineer's E-mail Address
P.PETROV@PMA-BG.COM
Zip 92677 Telephone 714-717-7542
Lic. No. 797052 Class
PERMIT NO. NLLIIi��///1il
PLAN CHECK NO. I U 05 `
PLAN CHECK FEES $
USE ZONE
DEVELOPMENT NO