HomeMy WebLinkAboutS2024-0106 - Permit Application°R WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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CITY OF NEWPORT BEACH
`F BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
20272 Spruce, Newport Beach, CA 92660
LEGAL DESCRIPTION
LOT 24 BLOCK TRACT1506
2. DESCRIPTION OF WORK New Pool, Spa and Equipment}—�
356 Sf ESTIMATED VALUATION $30,000.00
SWIMMING POOL SPA POOL FENCING ❑ DRAINAGE {�
Check Aoorooriate box for Annliranr
3. OWNER'S NAME LAST FIRST
Walker Trevor
ADDRESS
OWNER'S E-MAIL ADDRESS
20272 Spruce
trevor.walker@myalldry.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
949-933-7993
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Lenehan Kyle
ADDRESS
ENGINEER'S E-MAIL ADDRESS
750 Oak Avenue Pkway, Suite 195
info@lenehaneng.com
CITY STATE ZIP
PHONE NO.
Folsom CA 95630
916-287-1445
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Orange County Pool Construction Inc. DBA Premier Pools & Spas
798298
C53
No. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
26052 Merit Circle #106
jgoellrich@ppas.com
CITY STATE ZIP
NO.
TONE
Laguna Hills CA 9265326-483-0889
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
S o24 . 0106
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DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls