HomeMy WebLinkAboutS2020-0212 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
24 MORRO BAY DR CORONA DEL MAR
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Swimming pool remodel
SWIMMING POOL ® SPA ❑
a+r lv� NNrvNnaw UVA nu MJJF11 011L
ESTIMATED $ VALUATION $18,000
)L FENCING ❑ DRAINAGE ❑
3. OWNER'S NAME
LAST
TafazoliYazdi
FIRST
Amir
ADDRESS
24 Morro Bay Dr
OWNER'S E-MAIL ADDRESS
yazdifam@gmail.com
CITY
Corona Del Mar
STATE
CA
ZIP
92625
PHONE NO.
949-266-4738
4. ENGINEER'S NAME
LAST `f
FIRST
LICENSE N
ADDRESS
ENGINEER'S E-MAIL ADDRESS
J
CITY
STATE
ZIP
PHONE NO.
5. CONTRACTOR'S NAME
ownw
BUSINESS LICENSE
STATE LICENSE
No. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
CITY
STATE
ZIP
PHONE NO.
OFfJCE USE ONLY
ERMIT NO.
PLAN CHECK NO. �
POOL P/C FEE $�
2
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls