HomeMy WebLinkAboutS2021-0223 - Permit Application'orm
/�'I jX Residential
Worksheet for Building Combo Permit Application oFf` ova
City of Newport Beach - Building Division SZ b7A - 02Z3
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
Building I -Grading
[-Drainage F`Elec F-Mech F-Plum CuYdCutF_ cuvdFill
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Project Address (Not mailing address)
Floor Suite No
18 Harbor Island, Newport Beach, CA 92660
F
Description of Work
Use
Pool & Spa in ground (900 SF)
# Stories[— # Units (if Res)[ —
Valuation $
New/Add SFr—
Remodel SFF—
Garage/New/AddF—
Material/Labor—_--_�
OWNER'S NAME
Last orcl
First John
Owner's Address
Owner's E-mail Address
18 Harbor Island
City Newport Beach
State CA Zip 92660 Telephoner
APPLICANT'S NAME
Last inkle
First Jake
Applicant's Address
Applicant's E-mail Address
3857 Birch St
akewinkle@gmail.com
City Newport Beach
State CA
Zip 92660 Telephone (949)566-8543
ARCHITECT/DESIGNER'S NAME Last First �� Lic. No. �---
Architect/Designees Address
Architect/Designees E-mail Address
City �
State I_._.
Zip F—: TelePhoneF�_._ _...........
ENGINEER'S NAME
Last Petrov
First Plamen Lic. No. C66947
Engineer's Address
Engineer's E-mail Address
28161 Casitas Ct
Consulting@pma-bg.com
City Laguna Niguel'
State CA
Zip 92677 Telephone (714)717-7542
CONTRACTOR'S NAME/COMPANY IDevore Pools & Spa
Lic. No. 01549 Class[
Contractor's Address
Contractor's E-mail Address
P.O. Box 828
City San Juan Capistranov
State CA
Zip F2693 Telephone (949)493-4374
ENERGY P/C FEE $
FIRE P/C FEE $
PERMIT NO. SZGZ I - OZZ3
GRADING P/C FEE $
PLANNING P/C FEE $
PLAN CHECK NO. Z3I?, -ZC/LI
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $