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HomeMy WebLinkAboutM2024-0075 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division Comm'I )< Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FX-Building r Grading rDrainage r Elec F Mech r Plum Cu vd Cut Cu Yd Fill F Project Address (Not mailing address) r Flood F_ Fire r Liq r Landslide F_N/A Floor Suite No 1310 E Balboa Blvd F_ Description of Work Use [_ Const Type Total floating dock demo and rebuild to different configuration Removing 3 ex! ling piles and # Stories- # Units (if Res)r— installing 4 No new piles. change to gangway or pier/patio. Valuation$ F$1 0,000 Material/Labor New/Add SF 400 Remodel SF F- "- Garage/New/Add OWNER'S NAME Last Herbst First Troy Owner's Address Owner's E-mail Address 1310 E Balboa Blvd tdh@herbstdev.com City Newport Beach State CA Zip 92661 Telephone 702-327-0292 APPLICANT'S NAME Last Herbst First Troy Applicant's Address _ Applicant's E-mail Address 1310 E Balboa Blvd tdh@herbstdev.com City Newport Beach State CA Zip 92661 Telephone 702-327-0292 ARCHITECT/DESIGNER'S NAME Last Lic. No. First F �— Architect/Designer's Address Architect/Designer's E-mail Address City � State � Zip F Telephoned ENGINEER'S NAME Last Jafari First Masoud Lic. No. S3812 Engineer's Address Engineer's E-mail Address 23 Orchard St mali@wsase.com City Lake Forest State CA Zip 92630 Telephone 1 949-206-9925 CONTRACTOR'S NAME/COMPANY Apex Diving and Marine Services, Inc. Lic. No. 1006937 Class Contractor's Address Contractor's E-mail Address 15061 Sherman Way, Unit J dwain@apexdiving.com City Van Nuys State CA Zip 91405 Telephone 949-590-9966 SETBACKS REAR SETBACKS FRONT PERMIT NO. I jC) Pg-()0j S SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $