HomeMy WebLinkAboutM2019-0073 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 441,
r Comm'I r Residential City of Newport Beach - Building Division 2dN0"_lll9
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 7°
rBuilding r Grading rDrainage r Elec r Mech r Plum ce y OR RL5°uidl4CES DIVISION
Project Address (Not mailing address) r Flood r Fire r Liq r LaeMF1V9WPWT BEIQ04No
X32- VIA u d ® NurTtte_4ia/aij7
Description of Work
Use F—ConstType F_
# Storiesr— #Units (if Res)r—
OV 2, Li h Y- A Lf-,,
`
New/Add SFr � Remodel SF
Garage/New/Add
Valuation $ �
Material/tabor
OWNER'S NAME Last Ld�
First I V V,
Owner's Address
Owner's E-mail Address
5�Z V i rn (Aa t1.1vtrd
rocici ru hncy- coy"
city ,Cir � t 'GCOC /) State CA Zlp q7Telephone .'�22.
APPLICANT'S NAME Last CHUNG
First PACQUELYN
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER State CALIFORI`
Zip 82683 Telephone 949.631.3121
ARCHITECT/DESIGNER'S NAME Last First —Lic. No.
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
--
city State F—
F
Zip Telephone
ENGINEER'S NAME Last PETROV
First PLAMEN Lic. No. 6947
Engineer's Address
Engineer's E-mail Address
28191 CASITAS COURT
P.PETROV@PMA-BG.COM
City LAGUNA NIGUEL State CALIFORh
Zip F2677 Telephone 14.717.7542
CONTRACTOR'S NAME/COMPANY WIFT SLIP DOCK AND PIER BUILDERS, INC. Lic. No. 797052 Class f1
Contractor's Address
i
Contractor's E-mail Address
6351 INDUSTRY WAY
ACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER State FALIFORN
Zip F2683 Telephone F949.631.3121
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. G
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $