Loading...
HomeMy WebLinkAboutS2024-0045 - Permit Application{ `' .•ram; PLEASE PRINT OR TYPE WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH BUILDING DIVISION 1. PROJECT ADDRESS (NOT MAILING ADDRESS) LEGAL DESCRIPTION LOT BLOCK---1-71--l-9-1°c TRACT 2. DESCRIPTION OF WORK Sc' rtirh \l a SWIMMING POOL( SPA' Check Appropriate box for Applicant ESTIMATED $ VALUATION :;95O cvc) POOL FENCING ❑ DRAINAGE ❑ 3. OWNER'S NAME LAST FIRST ADDRESS OWNER'S E-MAIL ADDRESS / o j l OIL,%I'�( S% CITY STATE ZIP PHONE NO. �W C):tif — 4, 7,1-6 � o 4. ENGINEER'S NAME LAST FIRST LICENSE NO. —f,L_ �% , � ^LP'1 �o rlp ADDRESS ENGINEER'S E-MAIL ADDRESS CITY STATE ZIP PHONE NO. 5. CONTRACTORS NAME BUSINESS LICENSE STATE LICENSE ?oa L s J-+1L, / �: / No. Class DDRES CONTRACTOR'S E-MAIL ADDRESS /1— CITY STATE ZIP NIO[. IPHONEp/� , ?C OFFICE USE ONLY J PERMIT NO. �V T ' p0qs� PLAN CHECK NO.('?� Drja� POOL P/C FEE $ DRAINAGE P/C FEE $ Forms\Pool soa anol (rev3-04Lxls