HomeMy WebLinkAboutX2021-0912 - Permit ApplicationP�Form +' Wor sR et for Combo Building & Solar Permit Application
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City of Newport Beach - Building Division uZ
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Address
Beach, CA 92660
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r Flood r Fire r Liq r Landslide 6CN/A Floor Suite No
IStructural repair of structural steel members at garage opening. To include new grade
New/Add SFF RemodelSFF_ Garage/New/Add
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# Stories # Units (if
OWNER'S NAME Last Itsergen First IKonala
Owner's Address Owner's E-mail Address
5 Tarafalgar ronaldbergen@icloud.com
City New ort Beach State� Zip r60 Telephon494
APPLICANT'S NAME Last Rodriguez First Alexander
Applicant's Address
23890 Hawthorne Blvd
City Torrance State CA
Applicant's E-mail Address
Alex@baycitiesconstruction.com
Zip 90505 Telephone 323.6793056
ARCHITECT/DESIGNER'S NAME Last First F_
Lic. No.
Architect/Designer's Address Architect/Designees E-mail Address
City State F___ Zip F_ TelephoneF_
ENGINEER'S NAME Last
Engineer's Address
City State
FirstLic. No.F__
,�7/)
Engineers E-mail Addrels
Zip Telephone
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CONTRACTOR'S NAME/COMPANY Bay Cities Construction Lic. No. 842614 Class F_
Contractor's Address
23890 Hawthorne Blvd
City Torrance State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
alex@bayeitiesconstruction.com
Zip 90505 -- Telephone 888-881-7355
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $