HomeMy WebLinkAboutM2014-0052Pant Form Worksheet for Combo Building & Solar Permit Application
Comm'I r Residential NOTE: PIty of LAN CHECK ort FEBeach - ES DUE ATIlding ITIIME OF F t' ill i,�
r -Building F Grading rDrainage I- Elec F-Mech F- Plum Cu vN ii "SACH
Project Address (Not mailing address) !- Flood r - Fire r Liq rLanisrlievT` AFlo r Au
111 GRAND CANAL
Description of Work
New/Add SF Remodel SF
Use F Const Type
# Stories # Units (if Res)
I
Valuation $ 51000
Garage/New/Add F___ Material/Labor
OWNER'S NAME Last GUANCI First TONY
Owner's Address Owner's E-mail Address
111 Grand Canal Jacquelyn.chung@sbcglobal.net
City Newport Beach State CA Zip 92662 Telephone 1949.631.3121
IAPPLICANT'S NAME Last Chung First Jacquelyn I
Applicant's Address
2027 Placentia Avenue
City Costa Mesa State CA
Applicant's E-mail Address
Jacquelyn.chung@sbcglobal.net
Zip 92627 Telephone949.631.3121
ARCHITECT/DESIGNER'S NAME Last First
Lic. No.
Architect/Designer's Address
City State F
Arch itect/Designer's E-mail Address
Zip Telephone
ENGINEER'S NAME Last First F Lic. No.
Engineer's Address
City State F
Engineer's E-mail Address
- -_ - - -
Zip F Telephone
CONTRACTOR'S NAME/COMPANY Swift Slip Dock and Pier Builders, Inc. Lic. No. 797052 Class F77
Contractor's Address
2027 Placentia Avenue
City Costa Mesa State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
Jacquelyn.chung@sbcglobal.net
Zip 92627 Telephone 949.631.3121
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
CM OF NEWPORT BEACH
CITY OF I
km NEWPORT BEACH IP
PER
NEWPORT
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Y M N I TY MRP PROF I LE 1' = 40'
eAsr
1°K" ff''. SOUNDINGS RRE EXPRESSED IN FEET AND DENOTE
ELEVATIONS BASED ON MEAN LOWER LOW WATER.
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APPLICANT'S ►ME
JOB ADDRESS
DOCK & PIER
BUILDERS, INC.
VIA DATE IQ Z� 70A-1