HomeMy WebLinkAboutX2022-1469 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ;� Pql
r Comm'I (X Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL .•�
DZBuilding r Grading
[)?Drainage r Elec r Mech r Plum Cu YdcutF Cu Yd Fill F
Project Address (Not mailing address) f— Flood r Fire j— Liq r— Landslide I —N/A Floor Suite No
17 Boardwalk
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Description of Work
Use s Const Type s
It Storiess # Units (if Ress
Demo Existing Pool and Spa.
BuMl New Pool 20 x 3 5 6 Spa 6 x 12 6
Valuation $
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Material/Labor 1 t 0/ O /
NewlAdd SF�—
Remodel SF� Garage/New/Add
OWNER'S NAME
Last Sacks First Terri
Owner's Address
Owner's E-mail Address
17 Boardwalk
terdsacks@gmail.com
City Newport Beach
State CA Zip 92660 Telephone (951) 9634659
APPLICANT'S NAME
Last Ortiz First Austin
Applicant's Address
Applicants E-mail Address
5069 Arroyo Lindo Ave
admin@gsenviroscapes.com
City San Diego
State CA Zip 92660 Telephone (949) 795-4884
ARCHITECT/DESIGNER'S NAME Last Orfiz First Austin Lic. No. 1061626
ArchitecUDesigner's Address
Architect/Designers E-mail Address
5069 Arroyo Lindo Ave
admin@gsenviroscapes.com
City San Diego
State CA Zip 92660 Telephone (949) 795-4884
ENGINEER'S NAME
Last Biedenbach First Chris Lic. No. 74003
Engineer's Address
Engineers E-mail Address
1201 N.Tustin Ave
pooleng@pooleng.com
City Anaheim
State CA Zip 92807 Telephone (714) 630-6100
CONTRACTOR'S NAME/COMPANY IHP Enterprises Lic. No. 1032378 Class 553
Contractor's Address
Contractor's E-mail Address
5069 ArroyoLindo Ave
Admin@gsenviroscapes.com
City San Diego
State CA Zip 92807 Telephone (949) 795-4884
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SETBACKS REAR
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SETBACKS FRONT PERMIT NOSMZ�OII7 (7112Z- jy
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO Q WZ2-G(A� PLAN CHECK FEES $
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