HomeMy WebLinkAboutM2022-0015 - Permit Application (2)OrFo=� Worksheet for Combo Building & Solar P I catio 6WPo"m
F- Comm'I r Residential City of Newport Beach - Building Divisi�i��%6
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NOTE: PLAN CHECK FEES DUE AT TIME OF SU 1
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Project Address (Not mailing address) r- Flood Fire Liq r N/A rr Suite No
215 11� '
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Description of Worke
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# stories # Units (if Res)F_
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New/Add SFF__
Valuation $
Remodel 5FF Garage/New/Add—I Material/Labor �tCCXD
OWNER'S NAME
Last 2U6� N R ?M First
Owner's Address
Owner's E-mail Address
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City 4 4�..�{i (A''1 State F Zip R__ (( I ',, Telephone giCj.t0t•SV_-2I _
APPLICANT'S NAME
Last MORALES First MARISSA
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
_ MARISSA@SWIFTSLIPDOCKS.COM
City WESTMINSTER
State CA Zip 92683 Telephone949-631-3121
ARCHITEC UDESIGNER'S NAME Last First s F_
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
i
State F_ Zip F Telephoned
ENGINEER'S NAME
LastPETROV i 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 Telephonel. 714-717-7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 797052 Classy
Contractor's Address
Contractor's E-mail Address
6351 INDUSTRY WAY
MARISSA@SWIFTSLIPDOCKS.COM
City WESTMINSTER State CA Zip 92683 Telephone 949-631-3121
ETBACKS REAR
SETBACKS FRONT PERMIT NO.� OQ�S
TBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
ZONE
DEVELOPMENT NO PLAN CHECK FEES $