HomeMy WebLinkAboutS2021-0033 - Permit Applicationoia--
WORKSHEET FOR POOL COMBINATION PEICITY OF NEWPORT BE)
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
9AZ;l Marino Dr
APPLICATION '5202I -0033
2. DESCRIPTION OF WORK gas to BbU22,000
ESTIMATED $VALUATION �—
SWIMMING POOL ❑
SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for
3 3, OWNER'S NAME
looney
ADDRESS
2451 Marino Dr
CITY
Vewport Beach
1] 4. ENGINEER'S NAME
Thompson
ADDRESS
1201 N. Tustin Ave
CITY
Anaheim
® 5. CONTRACTOR'S NAME
Promontory Pools
ADDRESS
17401 Irvine Blvd #B
CITY
Tustin
F
ONLY
NO.
HECK NO.
/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev8-04).xls
Ca 92660 1310,225.9830
Matt 186051
Ca 92807 714.630.6100
Ql lQlMFRR I ICENSE I STATE LIG
Ca 92780 1714.5oB.0557
-? 26 ILO , 2A 1