HomeMy WebLinkAboutM2022-0004 - Permit ApplicationM F m_. Worksheet for Combo Building & S VUXpp1Wn
r Comm'I [, Residential 7 1�City of Newport Beach - Building Division
NOTE:
PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding C, Grading [Drainage Elecj-Mech Plum cuvdcut�l cuvdFin �
Project Address (Not mailing address) F7. Flood r Fire
15 Bayside Dr
of Work
New/AddSFF— Remodel SFF—
Garage/New/Add
r Landslide r'',N/A Floor Suite No
OWNER'S NAME Last KING First JACK
Owner's Address
Owner's E-mail Address
Use 'Const Type
# StoriesF7 # Units (if Res)F—
Valuation $ F21,000
Material/Labor
415 BAYSIDE DR J jking@kingparret.com
City NEWPORT BEACH State CA Zip 92660 Telephone 949-631-3121
APPLICANT'S NAME Last
Applicant's Address
6351 INDUSTRY WAY
City WESTMINSTER State CA
First
Applicant's E-mail Address
RANDY@SWI FTS LI PDOCKS.COM
Zip 92683 Telephone 949-631-3121
ARCHITECT/DESIGNER'S NAME Last First
Lic. No. �.
Architect/Designer's Address Architect/Designer's E-mail Address
City State 7- Zip F-7-7 Telephones
ENGINEER'S NAME Last PETROV First PLAMEN Lic. No. 66947
Engineer's Address
28191 CASITAS COURT
City LAGUNA NIGUEL State CA
Engineer's E-mail Address
P.PETROV@PMA-BG.COM
Zip 92677 Telephone 714-717-7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 797052 Class
Contractor's Address
6351 INDUSTRY WAY
City WESTMINSTER State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
RANDY@SWI FTSLI PDOCKS. COM
Zip 92683 Telephone949-631-3121
PERMIT N0. I'
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $