HomeMy WebLinkAboutM2018-0060 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
Comm'I F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j—Building r Grading r-Drainage r Elec RRF
r Mech r Plum Cu vd cur c� 4d Ftr
P jeet Address (Not mailing address) f Flood r Fire r• Li ((�� 1V WPC
I �� ���� 9 I -Landslide I N7AF
UD J1-
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f� I UseF_ ConstType l —
6t �� e # StoriesF_ # Units (if Res)F—
New/Add SF� Remodel SF��-- Valuation $
Garage/New/Add �--
Material/Labor
OWNER'S NAME
Last
Fw,
First
O er's Address
-}- Owner's E-mail Address
City ¢��yp { /G�p State II—
l� tr Zip R A A Telephone �I27
APPLICANT'S NAME
Last CHUNG
Applicant's Address FirstACQUELYN
351 INDUSTRY WAY Applicant's E-mail Address
JACQUELYN.CHUNG@SBCGLOBAL.NET
City ESTMINSTER State CALIFORh
Zip 92683 Telephone 949.631.3121
ARCHITECT/DESIGNER'S NAME
Last
�—
ArchitecVFirst Designer's Address Lic. No. F�
Architect/Designer's E-mail Address
City
State r ZIP
Telephone[ —
ENGINEER'S NAME Last
!—
PETROV
First PLAMEN
Engineer's Address
Lic. No. 6947
8191 CASITAS COURT
Engineer's E-mail Address
P.PETROV@PMA-BG.COM
City LAGUNA NIGUEL
State CALIFORh Zip 92677 Telephone
714.717.7542
CONTRACTOR'S NAME/COMPANY
—SLIP DOCK AND PIER BUILDERS, INC. Lic. No. 797052 Class A�—
Contractor's Address
6351 INDUSTRY WAY
Contractor's E-mail Address
City ESTMINSTER
State ALIFORh Zip
ACQUELYN. CHUNG@SBCGLOBAL.NET
92683 Telephone
949.631.3121
SETBACKS REAR
�—
SETBACKS FRONT
SETBACKS LEFT
PERMIT NO. `
�—. y _ D SETBACKS RIGHT
USE ZONE
�__ PLAN CHECK NO. % 3�1�1 �7 r, i 9
DEVELOPMENT NO PLAN CHECK FEES $