HomeMy WebLinkAboutM2019-0021 - Permit Application (2)Mme« -o07--1
Print Form_ Worksheet for Combo Building & Solar Permit Application now
r Comm'I r" Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(Building (Grading (Drainage ("Flet f—Mach(-PlumCu Yd Cut ulTd€I DIVISION
ITYOFM#PORT BEACH
Project Address (Not mailing address) r Flood r' Fire r- Liq r- Landslide I -N7 Flo r Suite o
Description of Work ------- __
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Use F_ Const Type
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if Stories- # Units (If Res)F_
Valuation $ 1
Materlal/Labor
New/Add SFF Remodel SF�— Garage/New/Add �—
OWNER'S NAME Last First
Owner's Address Owner's E-mail Address
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City G State I ` Zip 2 Telephone 10 • 20
APPLICANT'S NAME Last CHUNG First ACQUELYN
Applicant's Address Applicant's E-mail Address
351 INDUSTRY WAY ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER State CALIFORI` Zip 92683 Telephone 49.631.3121
ARCHITECT/DESIGNER'S NAME Last First I — Lic. No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
City State I Zip r TelephoneF
ENGINEER'S NAME Last PETROV First PLAMEN Lic. No. 6947
Engineer's Address Engineer's E-mail Address
8191 CASITAS COURT IP.PETROV@PMA-BG.COM
City LAGUNA NIGUEL State CALIFOR� 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@SBCGLOBAL.NET
City ESTMINSTER State FORK Zip 2683 Telephone 949.631.3121
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. s, •fir'
USEZONE DEVELOPMENT NO PLAN CHECK FEES$
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