HomeMy WebLinkAboutM2021-0079 - Permit Application' ��°on
Print Form` Worksheet for Combo Building &Solar Perrni °pp ication
[ Comm'I [ Residential City of Newport Beach - Building DiviftBtIC WORKS
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT v V
r1Building r Grading r•..Drainage [Elec rMech [j Plum CuyH HE3
Project Address (Not mailing address) r- Flood r Fire (° [ITY-(W
2806 LAFAYETTE AVENUE �C
Description of Work Use F Const Type
Remove and replace existing 30 x 61 shaped floating dock - LIKE FOR LIKE.
# Stories # Units (if Res)'.
Valuation $ FOOO
New/Add SFF RemodelSFGaraga/New/AddMaterial/Labor
OWNER'S NAME Last IGALLIAN ... First
Owner's Address Owner's E-mail Address
2806 Lafayette Avenue acquelyn@CPSCoastalPermits.com
City Newport Beach State CAZip 82663 Telephone 949.274.4214
APPLICANT'S NAME Last
Applicant's Address
010 Channel Place
City Newport Beach State CA
ARCHITECT/DESIGNER'S NAME Last
Architect(Designer's Address
City State
First pacquelyn
Applicant's E-mail Address
zip 92663 Telephone 949.274.2545
First F Lic. No. F_
Architect/Designer's E-mail Address
Zip F- Telephonel�
ENGINEER'S NAME Last Petrov First Plamen Lic. No. C 66947
Engineer's Address Engineer's E-mail Address
8161 Casitas Court consulting@pma-bg.com
City Laguna Niguel State CA Zip 92677 Telephone 714.717.7542
CONTRACTOR'S NAME/COMPANY OUTH SHORE MARINE CONSTRUCTION Lic. No. Fo 1061 ClassF
Contractor's Address Contractor's E-mail Address
952 Warner Avenue Unit #110 max@southshore-marine.com
City Huntington Beach State CA Zip 92649 Telephone (562)592-1357
SETBACKS REAR SETBACKS FRONT PERMIT NO. [Nvl C -)U
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. f PogCi - ZC�r'�
USEZONE DEVELOPMENT NO
PLAN CHECK FEES $
V271,0110� V DJ6