HomeMy WebLinkAboutM2019-0013 - Permit Application`M ZDIGI - OD 13
Print Form -1 Worksheet for Combo Building & Solar Permit Application
r Comm'I r' Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading r"Drainage r Elec j•-' MechI�'"� r''''te
r Plum Cu Yd Cutl CU Yd Fill
Project Address
p (Not ymailing addresAs)) r Flood r" Fire r' Uq r' Lan ss CRililiESQWCESnWlW(
fr7� 5V U d 9"i i"Jm ®Iv' LA 17F WP(lR 8 ��
MDescono orkUse ConstType
# Stories # Units (if Res)
New/Add SFF �J Remodel 5F Valuation $ yy��
Garage/New/Add — Materialn'
OWNER'S NAME Last First
Owner's Address
Owner's E-mail Address
City lU `I(�Uv �7--,-/-@State I 'ter'' Zi Tele p
8/V t/lfV 4 P ephoneF�
APPLICANT'S NAME Last pC'—HUUNG� First ACQUELYN
Applicant's Address Applicant's E-mail Address
351 INDUSTRY WAY JACQUELYN.CHUNG@SBCGLOSAL.NET
City ESTMINSTER State CALIFOR� Zip 92683 Telephone949.631.3121
ARCHITECT/DESIGNER'S NAME Last First F —
Lic. No.
Architect/Designees Address ArchitectlDesigner's E-mail Address
City iY State �V zip �— Telephone
ENGINEER'S NAME Last PETROV First PLAMEN Lic.No, 5947
Engineer's Address Engineer's E-mail Address
8191 PASITAS COURT P.PETROV@PMA-BG.COM'
City LAGUNA NIGUEL State CALIFORP Zip 92677 Telephone 714.717.7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK AND PIER BUILDERS, INC. Lic. No. 797052 Class
Contractor's Address Contractor's E-mail Address
6351 INDUSTRY WAY ACQUELYN.CHUNG@SBCGLOSAL.NET
City ESTMINSTER State CALIFORh Zip 92683 Telephone949.631.3121
SETBACKS REAR SETBACKS FRONT PERMIT NO. 19M • MI#)
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO, 0-111-2041
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $