HomeMy WebLinkAboutM2024-0006 - Permit ApplicationPrint Form I 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 8WMMrhdt^_ IA/nDVi
RBuilding r Grading
Project Address (N
N BAY FRONT
of Work
r-Drainage (- Elec r Mech rPlum
..' " '.
address) r Flood F_. Fire (- Liq r Landslide
New/Add 5FF Remodel SF Garage/New/Add F_
OWNER'S NAME Last
Owner's Address
505 N BAY FRONT
City NEWPORT BEACH State CA
APPLICANTS NAME Last
Applicant's Address
First
Use F_ Const Type
# StoriesF- # Units (if ResF_
Valuation $
Material/Labor r27,�000
Owner's E-mail Address
Zip 92662 _ Tele hone 970 889-2276
First
Applicant's E-mail Address
6351 INDUSTRY WAY
- -- -- ------ --- __ RANDY@SWIFTSLIPDOCKS.COM
City WESTMINSTER State CA 94
---"
----------_._.-_.-.-
Zip 92683 Telephone 9-631-3121
ARCHITECT/DESIGNER'S NAME
Last --- — --- First �—
Lic. No. �-
Architect/Designer's Address ArchitecttDesigner's E-mail Address
City - - - State �- Zip F' Telephone
ENGINEER'S NAME Last PETROV
First PLAMEN Lic. No. W 7
Engineer's Address --- - - - -
Engineer's E-mail Address
F28191 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
F_ Class
-- -
Contractor's Address -- ' -
6351 INDUSTRY WAY Contractor's E-mail Address
RANDY@S WI FTSLI PDOCKS. COM
City WESTMINSTER -- -
---------------- ---- ---_ - _ State CA Zip F92683 Telephone 949-631-3121
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $