HomeMy WebLinkAboutM2021-0047 - Permit ApplicationPrmtForg Worksheet for Combo Building & Solar Permit Application
Comm"V\ Residential City of Newport Beach - Building Division M 2(JZ' UU I
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building r7Grading [—Drainage [-,Elec [-,Mech [-Plum CuYdCut s CuvdFill F
Project Address mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
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Description of Work
Use I— Const Type r—
# Stories? # Units (if Res)s
do-k-,
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N
iVICw V-
Valuation$ F�(o
Material/LaborI000
New/AddSFs:, RemodelSF� Garage/New/Add
OWNER'S NAME Last First
Owner's Address J Owner's E-mail Address
City NM 'r a State I l� , Zip � Telephoned!
APPLICANT'S NAME Last MORALES First MARISSA
Applicant's Address Applicant's E-mail Address
6351 INDUSTRY WAY MARISSA@SWIFTSLIPDOCKS.COM
City WESTMINSTER State CA Zip 92683 Telephone 949-631-3121
ARCHITECT/DESIGNER'S NAME Last First F_ !
Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
I
I
City � State F_____'7 Zip Telephoned
ENGINEER'S NAME Last PETROV First PLAMEN Lic. No. F6947
----. --
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 & PIER BUILDERS, INC Lic. No. 797052 Class
Contractor's Address Contractor's E-mail Address
6351 INDUSTRY WAY MARISSA@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 $