HomeMy WebLinkAboutS2017-0107 - Permit Application52091- 01 0-1
a4 e'wr" r WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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' CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
633 Cameo Highlands Drive, Newport Beach, CA
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK New pool R spa cnnatructinn (gunite.) 371 cnft pont R4 cgff spa
ESTIMATED $ VALUATION 45,000
SWIMMING POOL ® SPA] POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Aoalicant
3. OWNER'S NAME LAST FIRST
Cameo Highlands LP
ADDRESS
OWNER'S E-MAIL ADDRESS
3501 Jamboree Road Suite 6100
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Pool Engineering Lacher Todd
67656
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 Tustin Avenue
CITY STATE ZIP
PHONE NO.
Anaheim CA 92807
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Villa Pools, Inc.
BT30051925
No. 1004609 Class C53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
17853 Santiago Blvd, Suite 107-302
kathy@villapoolsinc.com
STATE ZIP
PHONE NO.
LCITY
Villa Park
CA 92861
714-488-7563
'ELSE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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Forms\Pool spa appl (rev3-04).xls 0 2
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