HomeMy WebLinkAboutM2021-0079 - Permit Application (2)g tpt�0°
Print Form' Worksheet for Combo Buildin & Solar Permi kation
F— Comm'] r Residential City of Newport Beach -Building DiviPUBLIC WORKS i®R'r\!S G,Foa
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTALv V
rBuilding r— Grading
,Drainage I-Elec F_Mech r Plum CuyHd RPlfCi MIT
Project Address (Not mailing address) C Flood r Fire C�Ty-opr
2806 LAF"ETTE AVENUE ��
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Description of Work
Use F Const Type F
Remove and replace existing
30 x 61 shaped floating dock- LIKE FOR LIKE.
N01211 WORK. �E U�€ FXIc
Tnir r enir nrev
#Stories! #Units (if Res)
-F
Valuation $
New/Add SFF—
Remodel SFF Garage/New/Add
000
Material/Labor
F
OWNER' NAME
Last GALLIAN First GEORGE
Owner's Address
Owner's E-mail Address
2806 Lafayette Avenue
acquelyn@CPSCoastalPermits.com
City Newport Beach
State CA Zip 92663 Telephone F949.274 4214
APPLICANT'S NAME
Last Chung First Pacquelyn
Applicant's Address
Applicant's E-mail Address
010 Channel Place
City Newport Beach
State CA Zip 2663 Telephone949.274.2545
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
City
State F Zip r Telephone
ENGINEER'S NAME
Last Petrov First Plamen Lic. No. C 66947
Engineer's Address
Engineer's E-mail Address
8161 Casitas Court
consulting@pma-bg.com
City Laguna Niguel
StateP77 Zip hT6T Telephone714.717.7542
CONTRACTOR'S NAME/COMPANY SOUTH SHORE MARINE CONISTRUCTION Lic. No.105 T06 Class';
Contractor's Address
Contractor's E-mail Address
952 Warner Avenue Unit #110 max@southshore-marine.com
City Huntington Beach State CA Zip 92649 Telephone (562) 592-1357
SETBACKS REAR
SETBACKS FRONT PERMIT NO. V-7, — W-7
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. �Voq' (l
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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