HomeMy WebLinkAboutS2022-0043 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I jX Residential City of Newport Beach - Building Division S2_011 . ON3 aoP
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding rGrading
rDrainage rElec rMech rPlum Cu Yd cutF Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
317 Aliso Ave
I (—
Description of Work
Use I— Const Type I
# Stories[ # Units (if Res)F_
Pool & 5pa Permit, Gas and Llecrncal(��di eFeamffe, ewer o ower. j
`
SFF324
New/Add S
Remodel SF
Garage/New/Add--�
valuation $
90,506.98
Material/Labor
OWNER'S NAME
Last Sheiner
First Poel
Owner's Address
Owner's E-mail Address
317 Aliso Ave
jsheiner@aol.com
City Newport Beach
StateCA Zip 82663 Telephone 949-795-4884
APPLICANT'S NAME
Last Ortiz
First Austin
Applicant's Address
Applicant's E-mail Address
5069 Arroyo Lindo Ave
admin@gsenviroscapes.com
City San Diego
State CA
Zip 92117 Telephone Fq49-750-9345
ARCHITECT/DESIGNER'S NAME Last—
First Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City—�
State �—
Zip Telephone
ENGINEER'S NAME
Last Lacher
FirstTodd Lic. No 6GSi-
Engineer's Address
Engineer's E-mail Address ,..F•lC;e ,,�'
16 r
1201 N. Tustin Ave.
_��1)
info@pooleng.com
City Costa Mesa
State CA
Zip 92807 Telephone (714) 630-6114
CONTRACTOR'SNAMEXOMPANY IHP Enterprises
Lic. No. 1032378 Class553
Contractor's Address
Contractor's E-mail Address
5069 Arroyo Lindo Ave
admin@gsenviroscapes.com
City San Diego
State CA
Zip 92117 Telephone 949-750-9345
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. _
SETBACKS LEFT
SETBACKS RIGHT ,
,=p i" 6, C+ PLAN CHECK NO. i'°4/C_•
?
USEZONE
DEVELOPMENT NO A
�' PLAN CHECK FEES $-
j