HomeMy WebLinkAboutM2019-0047 - Permit ApplicationI3I42.2611-M2019-OD"I--
Print Form _ Wor et for Combo Building & Solar Permit Application na r Comm'I r Residential6Z
City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIMF nFRI IRMITTAI
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Project Address (Not mailing address) r Flood r Fir iq r .Ll0Ag9M/P ST Suite No
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Des ription of Work
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Valuation a ryo,
Material/Labor XO
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Remodel SF Garage/New/Add
OWNER'S NAME
Last L O V N First
Owner's Address
Owner's E-mail Address
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City � 'CG State �— Zip I" I uO r0 Telephone I I. 1 2/
APPLICANT'S NAME
Last CHUNG First ACQUELYN
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
JACQUELYN.CHU NG@SBCGLOBAL. NET
City ESTMINSTER
State CALIF OR< Zip 92683 Telephone 49.631.3121
ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. �—
Architect/Designer's Address
ArchitectlDeslgner's E-mail Address
City I
State F_Zip r TelephoneF
ENGINEER'S NAME
Last PETROV First PLAMEN Lic. N46947
Engineer's Address
Engineer's E-mail Address
28191 CASITAS COURT
P.PETROV@PMA-BG.COM
City LAGUNA NIGUEL
State CALIFORh Zip 92677 Telephone 714.717.7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK AND PIER BUILDERS, INC. Lic• No. 797052 ClassF
Contractor's Address
Contractor's E-mail Address
8351 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOSAL.NET
City ESTMINSTER
State CALIFORh Zip 2683 Telephone949.631.3121
SETBACKS REAR
SETBACKS FRONTl"
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT _ PLAN CHECK NO,
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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