HomeMy WebLinkAboutM2019-0067 - Permit ApplicationWorksheet for Combo Building & Solar P Sno
& r Comm'I r Residential City of Newport Beach - Building DiviP01 N%NOTE: PLAN CHECK FEES DUE AT TIMEOFSUBM
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T BEACH
Project Address (Not mailing ad'Elec
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210 Grand Canal, Newport Beach, CA 92662
Description of Work
Use F7Const Type
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# Stories # Units (if Res)
Valuation $
Material/LaborF5'o
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New/Add SF�—''
Remodel SF 4 Garage/New/Add
OWNER'S NAME
Last Stone FirstBrad
Owner's Address
Owner's E-mail Address
210 Grand Canal
balboabrad@gmail.com
City Newport Beach
State CA Zip 92662 Telephone (949)280-7655
APPLICANT'S NAME
Last Andrey First Popovich
Applicant's Address
Applicant's E-mail Address
6351 Industrial Way
andrey@swiftslipdocks.com
City Westminster
State . CA Zip 92683 Telephone(949)631-3121
ARCHITECT/DESIG-NER'S NAME Last Fired Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
city
State �— Zip—' Tetephone�',
ENGINEER'S NAME
Last Petrov First Plamen Lic. No. 66947
Engineer's Address
Engineer's E-mail Address
28191 Casitas Court
p.petrov@pma-bg.com
City Laguna Niguel
State CA Zip X92677` 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 Industrial Way
andrey@swiftslipdocks.com
city Westminster
State CA Zip 92683 Telephone (949)631 3121
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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