HomeMy WebLinkAboutM2022-0002 - Permit Application (2)Print Form Worksheet for Combo Building & Solar PermitlippliL�lfioi DD2(ROM"
�,�/ City of Newport Beach - Building Divifi WBL IC WORKS r Comm'I r Residential --- NOTE: PLAN CHECK FEES DX�AT TIME OF.SUBMITTAL
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fgBuilding (— Grading (—Drainage r— Elec r" Mech r Plum ®A( RRE MIT
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Project Address (Not mailing address) r FI �' Fire q F00%'We M
1501 Bay Ave E ®/+bkd—
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Description of Work U
4p� Const Type
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# Stories #Units (if Res
Replace exestina fascia boards with new 2'�Kl 2" fascia boards anaund entire perimeter of floating
dock structure. No new floats, no structural changes, no changes to decking.
Valuation
New/Add SFF— Remodel SF 600 Garage/New/Add ��`
$ [$4,800
Material/Labor
OWNER'S NAME Last Tayler First Allen
Owner's Address Owner's E-mail Address
1501 Bay Ave E atayler25200@gmail.com
City Newport Beach State CA Zip 92661 Telephone 661-400-0655
APPLICANT'S NAME Last Tayler First Allen
Applicant's Address Applicant's E-mail Address
1501 Bay Ave E atayler25200@gmail.com
City Newport Beach State CA Zip 92661 Telephone 661-400-0655 i
F—,
ARCHITECT/DESIGNER'S NAME Last First F_F—,
Lic. No.
Address Architect/Designer's E-mail Address
City State (- c Zip I Telephone
ENGIMEER'S NAME Last First Lic. NoF
Engineer's Address Engineer's E-mail Address
City State F Zip F Telephone[
CONTRACTOR'S NAME/COMPANY Apex Diving and Marine Services, Inc. Lic. No. 1006937 Class
Contractor's Address Contractor's E-mail Address
15061 Sherman Way, Unit J dwain@apexdiving.com
City Van Nuys State CA Zip 91405 Telephone 949-590-9966
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO, d
USE ZONE DEVELOPMENT NO > LAN CHECK FEES $
12 524:111_;� 1 __?/-11 9