Loading...
HomeMy WebLinkAboutS2019-0153 - Permit Applicationyl'+I 1►1r icw Jyv((1q LVI s2-019 -0Os� 0 WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH PLEASE PRINT OR TYPE BUILDING DIVISION �� b}3� 1 PROJECT ADDRESS (NOT MAILING ADDRESS) Z 1 I LEG5D-3f AL DESCRIPTION LOT BLOCK TRACT 2. DESCRIPTION OF WORK %DL- Eq SQA ESTIMATED $ VALUATION SWIMMING POOL �/ — /—�t— SPA L POOL FENCING ❑ DRAINAGE Check Appropriate box for AonZ..,« —"'Q -1A saFIRS7 d C�! f= i o►.� t ADDRESS � OWNER'S E-MAIL ADDRESS ��.. CITY Z j S:1o2/,,1G (n) STATE ZIP PHONE NO. U 4. ENGINEER'SNAME 3 G LAST FIRS r l Z LICE,^N,SE/ANO. ADDRESS � / U�IJ ENGINEER'S CITY E-MAIL ADDRESS ! , 1.1. ) J STATE ZIP AC qj2p� 7 PHONE NO. 5: CONTRACTOR'SNAME CQ a0/ ?/�(,%3O(,/px:� Wei 4BUSINESS LICENSE STATE LICENSE �� ADDRESS ,3 CONTRACTOR'S E-MAIL ADOR SO Class 21�5rZ �121D6�- `� STATE ZIP C� PHONE NO. OFF/CE USE ONLY PERMIT NO. s PLAN CHECK NO. A POOL P/C FEE $ (� DRAINAGE P/C FEE $ Formslpool spa app, (rev3-04).xls