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HomeMy WebLinkAboutM2023-0029 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application F Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL (X Building r• Grading rDrainage r— Elec Address (Not 1 COLLINS ISLE of Work PILE ARE TO REMAIN. rMech j—Plum cuvdCutr— CuYdFill r Flood r Fire r Liq r Landslide rN/A Floor Suite No Use F—ConstType F_ # Storiesr— # Units (if Res)r— New/Add 5F�— Remodel SF� r Valuation $ Garage/New/Add I — Material/Labor 56,000 OWNERS NAME Last GROSS First JON Owner's Address Owner's E-mail Address F1COLLINS ISLE City NEWPORT BEACH State CA ZIP � Telephone 949-631-3121 APPLICANT'S NAME Last MORALES First I MARISSA Applicant's Address Applicant's E-mail Address 6351 INDUSTRY WAY MARISSA@S WIFTSLI PDOCKS.. COM City WESTMINSTER State CA Zip 92683 Telephone 949-631-3121 ARCHITECT/DESIGNER'S NAME Last First F� Lic No. �-- ArchitecUDesigner's Address Architect/Designers E-mail Address City State F_ Zip F— TelephoneF— ENGINEER'S NAME Last PETROV First PLAMEN Lic. No. 66947 Engineers 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 ClassrA — Contractors Address Contractor's E-mail Address 3351 INDUSTRY WAY MARISSA@SWIFTSLIPDOCKS.COM City WESTMINSTER State CA Zip 92683 Telephone 949-631-3121 SETBACKS REAR SETBACKS FRONT SETBACKSLEFT USE ZONE SETBACKS RIGHT DEVELOPMENT NO PERMIT NO, PLAN CHECK NO. R i ©S3 PLAN CHECK FEES $