HomeMy WebLinkAboutM2021-0061 - Permit ApplicationZo2i — ao�a
RIMWorksheet for Combo Building & Solar Permit App kation
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL °
rBuilding r Grading
Project Address (N
BAY ISLAND
of Work
F—iDrainage ['; Elec [ Mech f— Plum
Cu Yd Fill
F_' Flood C Fire r Liq- Landslide rN/A Floor j Suite No
ICOMPOSTIE DECKING ONLY. NO OTHER WORK PROPOSED.
New/Add SFF—', Remodel SF F Garage/New/Add F—I
OWNER'S NAME Last
Owner's Address
5 BAY ISLAND
City NEWPORT BEACH State CA
APPLICANT'S NAME Last I MORALES
First
Owner's E-mail Address
9M
First I MARISSA
Use F_'' Const Type
# StoriesF— # Units (if Res)[
Valuation $ 15,000
Material/Labor
-3121
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 Lic. No. F
Architect/Designer's Address Architect/Designer's E-mail Address
City State r Zip; Telephoner
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 11SWIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 797052
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
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO. `
PLAN CHECK FEES $ V"