HomeMy WebLinkAboutM2018-0062 - Permit ApplicationPnnf Fo; Worksheet for Combo Building & Solar Permit Application
J,
r Comm'I r Residential City of Newport Beach - Building Division '6
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r� SDIVISIO
r—Building r— Grading r—'Drainage rElec rMech F- Plum Cu Yd cut
(,TyQ'Cu`Ydttll
Flood Fire Li Landsl0e- ? NNE PORT BEAC I
Project Address (Not mailing address) r r r q r Floor Suite o ,
Description of Work
Use F—ConstType F_—
i
IQxl4 ► x
f
# StoriesF # Units (if Res)F_
I�l I 1,8
Material/La bor '
I� 1m
�Xt _ � Y3 ' l�D TtCCh
F/Remodel SFFGarage/New/Add�Valuation
OWNER'S NAME Last U
First R1G
Owner's Address
Owner's E-mail Address
cv CNO
City—
State , Zip Talephone�
_
__ _
APPLICANT'S NAME Last CHUNG
First ACQUELYN
Applicant's Address
Applicant's E-mail Address
351 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOBAL.NET
City WESTMINSTER State CALIFORh
Zip F2683 Telephone 49.631,3121
ARCHITECT/DESIGNER'S NAME Last
First F Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City State F—
Zip Telephone
ENGINEER'S NAME Last PETROV
First PLAMEN Lic. No. 6947
Engineer's Address
Engineer's E-mail Address
8191 CASITAS COURT
P.PETROV@PMA-BG.COM
City LAGUNA NIGUEL State CALIFORIN
Zip F2677 Telephone 14.717.7542
CONTRACTOR'S NAME/COMPANY 1SWIFT SLIP DOCK AND PIER BUILDERS, INC. Lic. No. 97052 Class
Contractor's Address
Contractors E-mail Address
351 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER State FALIFORh
Zip P2683 Telephone949.631.3121
SETBACKS REAR SETBACKS FRONT
PERMIT NO. f A 2 -Ir- $• els
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NONCI2_, C)b-�jZ
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ 'Z -2-t `; ZO I
�h