HomeMy WebLinkAboutM2024-0019 - Permit Application�Ewoopr
Print Form Worksheet for Combo Building & Solar Permit Application o e
r Comm'I (� Residential NOTE: PILANCH Kty of Ort FEBES UEeach - A i E 50t31rnRLdM3N d0
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Project Address (Not mailing address) r Flood
r" Fire r Liq r AC)Suite No
2270 Channel Rd. Newport Beach, CA 92661
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Description of Work
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Reusing Pile guides and cleats.
CITY
Va� 1 oZ. 7
Material/Labor $9'
New/Add SFF— Remodel SF Garage/New/Add
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OWNER'S NAME Last Harrison
First Pat
Owner's Address
Owner's E-mail Address
2270 Channel Rd.
I
City Newport Beach State CA
Zip 92661 Telephone 949-675-4835
APPLICANT'S NAME Last Boyett
First Chantele
Applicant's Address
Applicant's E-mail Address
6791 Klondike Ave.
chantele@southshore-marine.com
City Westminster State CA
Zip 92648 Telephone 562-592-1357
ARCHITECT/DESIGNER'S NAME Last
First F— Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
City State �—
—
Zip �— TelephoneF
ENGINEER'S NAME Last Jackson
First Max Lic. No. A-1082069
Engineer's Address
Engineer's E-mail Address
6791 Klondike Ave
max@southshore-marine.com
City restminster State CA
Zip 92683 Telephone 714-732-6127
CONTRACTOR'S NAME/COMPANY South Shore Marine Construction Lic. No. 1082069 Class FA
Contractor's Address
Contractor's E-mail Address
6791 Klondike Ave.
max@southshore-marine.com
City Westminster State CA
Zip 92683 Telephone 562-592-13357
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO.�/��
PLAN CHECK NO. C V �b
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $