HomeMy WebLinkAboutS2020-0173 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH v 7
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2854 Alta Vista Dr
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 441 sq ft
ESTIMATED $ VALUATION 44,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
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❑ 3. OWNER'S NAME LAST F1R T
Baeza Miguel
ADDRESS
OWNER'S E-MAIL ADDRESS
2854 Alta Vista
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
562.506.4500
0 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Thompson Matt
86051
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE STATE LICENSE
Swan Pools
o. 440333 classC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Lake Forest Ca 92630
949.859.8466
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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