HomeMy WebLinkAboutM2023-0090 - Permit Applicationprint For Worksheet for Combo Building & Solar Permit Application
r Comm'I X Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
R-Building r Grading [Drainage r Elec
Address (Not
BAY ISLAND
of Work
r Mech rPlum Cu Yd curl Cu Yd Fin F_
I r Flood r Fire r Liq r Landslide rN/A Floor
PROPOSED. PIER AND GANGWAY ARE TO REMAIN.
New/AddSFF__ RemodelSFF_
OWNER'S NAME Last IMILLER
Owner's Address
122 BAY ISLAND
City NEWPORT BEACH State CA
APPLICANT'S NAME Last ( MORALES
Applicant's Address
6351 INDUSTRY WAY
City WESTMINSTER State CA
Suite No
Use ConstType F
OCK I IKF-FOR-1 IKF ni0 PII F
# Stories #Units (if Res)',
Valuation $ 50,000 Garage/New/Add F_ Material/Labor
First I MATT
Owner's E-mail Address
M11 � G I2-3 67M AIL, COM
Zip 192661 Telephone 949-235-9286
First I MARISSA
Applicant's E-mail Address
MARISSA@SWI FTSLI 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
F
City �� _ _ State F__
_ ZIP �— Telephone
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 ILAGUNA NIGUEL State CA Zip 92677 Telephone 714-717-7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 797052 Class FA
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 PERMIT NO. r r120Z v
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. PCZ026
USEZONE DEVELOPMENT NO PLAN CHECK FEES $