HomeMy WebLinkAboutS2020-0146 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application a SWW,
Comm'I Residential �✓ City of Newport Beach - Building Division ZoZo 6 q6 a
F_ 111 11 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL i eow"
fX',Bullding r Grading r,Drainage F_ Elec r; Mech r Plum Cu yd Cut F Cu yd Fin F
Project Address (Not mailing address) 1 - Flood r Fire j—! Liq f— Landslide FN/A Floor Suite No
1963 Port Weybridge PI F',
Description of Work
Use F_ Const Type
# Stories? # Units (if Res)',
108sf spa. Associated plumbing and equip.
Valuation $ F10'000New/Add
Material/Labo,
SF RemodelSFF—Gara9a/New/Addr—',
OWNER'S NAME Last Rauth First Bill
Owner's Address Owner's E-mail Address
1963 Port Weybridge brauth@gmail.com
City Newport Beach State CA Zip 92660 Telephone949-533-7250
APPLICANT'S NAME Last Balch First anner
Applicant's Address Applicant's E-mail Address
20984 Bake Pkwy #106 anner@poollogicdesigns.com
City Lake Forest State Ca Zip 92630 Telephone 702-325-1765
ARCHITECT/DESIGNER'S NAME Last _ 'First _ Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip Telephonel—
ENGINEER'S NAME Last„ Firs Lic. No.
Engineer's Address Engineer's E-mail Address F�
City State Zip Telephone—
CONTRACTOR'S NAME/COMPANY pool Logic Lic. No. 1013333 Class C-53
Contractor's Address Contracto6 E-mail Address
1255 Ruggles St eff@poollogicdesigris.com
City La Verne State CA Zip 91750 Telephone 909-450-7804
SETBACKS REAR SETBACKS FRONT PERMIT NO. t�ZQa !✓'�
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $