HomeMy WebLinkAboutS2022-0204 - Permit Application'` ",
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
S 7
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1915 Yacht Enchantress
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Spa 39 sq ft (removal of ex. spa)
ESTIMATED $ VALUATION 20,000
SWIMMING POOL ❑ SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Applicant
3. OWNER'S NAME LAST FIRST
Parker
ADDRESS
OWNER'S E-MAIL ADDRESS
1915 Yacht Enchantress
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
415.722.9977
❑ 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Lacher Todd
67656
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807
714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
I�
Platinum Pools orlv'3�{� 20/
N0.1023429 class 5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
1052 Ford Rd
CITY STATE ZIP
PHONE NO.
Corona Ca 92879
949.629.4841
:E USE ONLY
PERMIT NO. C7-D22—.�L72P f{�
PLAN CHECK NO. ��i Ly l2 C'✓
POOL P/C FEE $
DRAINAGE P/C FEE $
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