HomeMy WebLinkAboutM2023-0038 - Permit ApplicationPrint For Worksheet for Building/Fire Permit Application
Please print 3 copies City of Newport Beach
Building Department
1. Project Address (Not mailing address) PUBLIC r7s Suite No
00 Harbor Island Drive, Newport Beach, CA 92660
HARBORPERMIT
Legal Description Lot F Block F_
Tract # Units
..r-ra wrrinrn/1r'fT r) A!^IJ
2. Description of Work
Replace decking on existing floating
Tenant Name if Commercial
F- New (— Add DZ Alter f— Demo
Check Appropriate Box for Applicant/Notification Information
Use
# Stories (—
Valuation $ 7600
Ft(new/add/extended)(
R 3. Owner's Name Last Shab
First F
Owner's Address
Owner's E-mail Address
600 Harbor Island Drive
iimshab@businessexpocenter.com
City Newport Beach State
CA Zip 92660 Telephone (714) 404-7422
F- 4. Architect/Designees Name Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
F__ Zip F_ Telephoned
r— 5. Engineer's Name Last First Lic. No.
F
Engineer's Address
Engineer's E-mail Address
City State
F Zip Telephone
R 6. Contractors Name Last ackson First Max Lic. No. 1082069 Class AF
Contractor's Address
t@Cov�vA6ncxe -Yv�c�rv�. Cowl
on rector's E-mail Address
1024 Lake St
Max@southshore-marine.com
City Huntington Beach State
CA Zip 92648 Telephone (714) 732--6127
OFFICE USE ONLY
PERMIT NO. /" ZVZ3 - 03
S
TYPE OF CONSTRUCTION
PLAN CHECK NO. [ ZQZ 3
PLAN CHECK FEE $ 39 jj
OCCUPANCY - GROUP
PLAN CHECK ENG.