HomeMy WebLinkAboutM2022-0004 - Permit Application (2)Print Form. Worksheet for Combo Building & Solar Permit
Comml Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT/
EX.Building Er Grading
Project Address (N,
14�S Bayside Dr
Description of Work
New/Add SFF_
F—Drainage (-!. Elec
F Mech r' Plum
mailing address) F.. Flood F_
� Fire
Cu Yd Cut F77 Cu Yd Fill
f.— Landslide [N/A Floor Suite No
Use Const Type F
#StoriesF7 #Units (if Res)F--'
Valuation $
Remodel SFF�, Garage/New/AddF— I Material/Labor 21000
OWNER'S NAME Last
Owners Address
415 DE DR
City INEWPORT BEACH
APPLICANT'S NAME Last
First
Owners E-mail Address
ILkinig@ ingparret com
State ICA Zip
Applicants Address
16351 INDUSTRY WAY
City [WESTMINSTER State ICA S
1-3121
First
Applicant's E-mail Address
RANDY@SWIFTSLIPDOCKS.COM
Zip F Telephone F �27M 949-631-3121
ARCHITECT/DESIGNER'S NAME Last First F Lic. No.
ArchitectfDesigner's Address
City State
Architect/Designers E-mail Address
ZipF—. Telephone[
ENGINEERS NAME Last 1PETROV First FWMEN Lic. No. 66947
Engineers Address Engineer's E-mail Address
28191 CASITAS COURT [P_PETROV@�MXMCOM
City JIMG��NAMIGUEL State 2677
CA zip Fg Telephone 714-717-7542
L F
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 797052 Class A
F F
Contractor's Address
16�511NDUSTRY WAY
City
State
G7__
F
1WESTMINSTER
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractors E-mail Address
IRANDY@S WIFTSLIPDOCKS.COM
ZIP 192683 Telephone 949-631-3121
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $