HomeMy WebLinkAboutM2020-0009 - Permit ApplicationPrint Fora, Work eet for Combo Building & Solar Permit Application NAD
F Comm'I r- Residential04 City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBjMITT�AL<„oa
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623 36th St, Newport Beach, CA 92663
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Use ®Py Const Type
Description of Work VV
Replacing1ea.t2"pile.���'I i_77777#Stories�—, I
New/Add SF I _---� Remodel SFr — ----- Va® �}g CM y�
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OWNER'S NAME LastBaeyens First Bob
Owner's Address
Owner's E-mail Address
623 36th St bob@baeyens.org
City Newport Beach State CA Zip 92663 Telephone(714)402-1247
APPLICANT'S NAME Last
Applicant's Address Applicant's E-mail Address
---_ _ —
6351 Industry Way���5��(ev � `(
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City Westminster State CA Zip 92683 Telephone (949)631-3121
ARCHITECT/DESIGNER'S NAME Last ie_ First —
Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
i
City F� State �— Zip F_ Telephonef�
ENGINEER'S NAME Last IPetrov
First Plamen Lic. No. 66947 j
Engineer's Address Engineer's E-mail Address
28191 Casitas Court p,petrov@pma-bg.com
City Laguna Niguel state CA Zip 92677 Telephone (714)717-7542
CONTRACTOR'S NAME/COMPANY Swift Slip Dock and Pier Builders, Inc Lic. No. 797052 ClassrA —
Contractor's Address Contractor's E-mail Address
6351 Industry Way
_
City lWestminstei State [CA Zip R6133 Telephone (949)631-3121
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
'—�----
PLAN,6HECK! N0.
PLAN`CHECk FEES $