HomeMy WebLinkAboutS2018-0092 - Permit Application2. DESCRIPTION OF WORK New nnnl Rgna const ,,motion (gi nitp) 24Q cnffnnol 49 cnff spa
ESTIMATED $ VALUATION 70.000
SWIMMING POOL ® SPA [R] POOL FENCING ❑ DRAINAGE ❑
Check Aoorooriate box for ADDlicant
3. OWNER'S NAME
LAST
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WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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CITY OF NEWPORT BEACH
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BUILDING DIVISION 1 1 ,
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CAZG� S
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
4527 Roxbury Road,
Corona Del Mar, CA
LEGAL DESCRIPTION
ZIP
LOT
BLOCK TRACT
2. DESCRIPTION OF WORK New nnnl Rgna const ,,motion (gi nitp) 24Q cnffnnol 49 cnff spa
ESTIMATED $ VALUATION 70.000
SWIMMING POOL ® SPA [R] POOL FENCING ❑ DRAINAGE ❑
Check Aoorooriate box for ADDlicant
3. OWNER'S NAME
LAST
FIRST
Fakhimi Property
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ADDRESS
OWNER'S E-MAIL ADDRESS
3501 Jamboree Road Suite 6100
CITY
STATE
ZIP
PHONE NO.
Newport Beach
CA
92660
E] 4. ENGINEER'S NAME
LAST(
FIRST
LICENSE
/NO. j
Pool Engineering
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
CITY
STATE
ZIP
PHONE NO.
Villa Park
CA
92861
714-486-7563
:E USE ONLY
PERMIT NO. S'J/� �� Z-01
( 7-7 - O L)S7
PLAN CHECK NO. 0 7 / ( - (- 0 1 7
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POOL P/C FEE $ ✓� C), O
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DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls - -1,01 7 —
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