HomeMy WebLinkAboutM2024-0004 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'] r Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding rGrading rDrainage rElec FMech ( —Plum Cu vd cuts Cu Yd Fills
Project Address (Not mailing address) F_ Flood r Fire r Liq IlVe MFiF'todt Suite No
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607 West Coast Hwy. Newport Beach, CA 92663 "Amam PE MIT
Description of Work
Q MFE.4ef—
Replacing damaged dockframe and (2) 4'X8' floats like for like.
# Stories #Units (if Res)s
Valuation $
New/Add SF�— Remodel SF�— Garage/New/Add F—
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Material/Labor
OWNER'S NAME Last Parker First Jim
Owner's Address Owner's E-mail Address
607 West Coast Hwy.
City Newport Beach State CA Zip 92663 Telephone 9498875755
APPLICANT'S NAME Last Boyett First Chantele
Applicant's Address Applicant's E-mail Address
1024 Lake St. hantele@southshore-marine.com
City Huntington Beach State CA Zip 92648 Telephone 562-592-1357
ARCHITECT/DESIGNER'S NAME Last Packson First Fmax Lic. No.-1(" 082069
Architect/Designer's Address Architect/Designer's E-mail Address
1024 Lake St. Max@southshore-marine.com
City Huntington Beach State CA Zip 2648 Telephone 714-732-6127
ENGINEER'S NAME Last First �— Lic No.F_
Engineer's Address Engineer's E-mail Address
—
City �— State F_ Zip TelephoneF
CONTRACTOR'S NAME/COMPANY South Shore Marine Construction, INC. Lic. No. 1082069 Class
Contractor's Address Contractor's E-mail Address
1024 Lake St. ax@southshore-marine.com
City Huntington Beach State CA Zip F2648 Telephone 562-5�92�-1357
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SETBACKS REAR SETBACKS FRONT PERMIT NO. 1
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $