HomeMy WebLinkAboutM2022-0002 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
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r Comm'I FX -Residential 1i (/, City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DN�T TIME OF: SUBMITTAL
rBuilding I-" Grading
r"Drainage I—Elec r- Mech � Plum �A Cu Yd Fill F_
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Project Address (Not
mailing address) r Flood (— Fire' Liq 1— LandsI&A Floor Suite No
1501 Bay Ave E % F
Description of Work
Const Type
Replace existing fascia boa[ds with new 2"02" fascia boards around entire perimeterof floafing
dock structure. No new floats, no structural changes, no changes to decking. # StoriesF— # Units (if Res)[—
New/Add SFF—
valuation $ [$4,800
Remodel SF600 Garage/New/Add Material/Labor
OWNER'S NAME
Last Tayler First Allen
Owner's Address
Owner's E-mail Address
1501 Bay Ave E
latayler25200@gmaii.com
y @gmail.com
City Newport Beach
v State CA Zip 92661 Telephone 661-400-0655
APPLICANT'S NAME
Last ITWW (t/ First Allen
Applicant's Address
/ Applicant's E-mail Address
1501 Bay Ave E
atayier25200@gmail.com
City Newport Beach
YW� State CA Zip 92661 Telephone 661-400-0655
ARCHITECT/DESIGNER'S NAME Last First r Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City I
State F— Zip F— Telephoner_
ENGINEER'S NAME
Last First F_ Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City f
State F_ Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Apex Diving and Marine Services, Inc. Lic. No. 1006937 Class
Contractor's Address
Contractor's E-mail Address
15061 Sherman Way, Unit J
dwain@apexdiving.com
city Van Nuys
State CA Zip 91405 Telephone 949-590-9966
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. -
USE ZONE
(
DEVELOPMENT NO > LAN CHECK FEES $