HomeMy WebLinkAboutS2020-0130 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION Lk
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CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
11 Torrey Pines
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa (detached)
561 sq ft/35 sq ft ESTIMATED $ VALUATION 50,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
3. OWNER'S NAME LAT FIRST
Moorehead
ADDRESS
OWNER'S E-MAIL ADDRESS
11 Torrey Pines
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
949.887.6233
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Lacher Todd
67656
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807
714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Pacific Paradise Pools
iNo.522119 Class C5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
3007 South Harbor Blvd
CITY STATE ZIP
PHONE NO.
Santa Ana CA 92704 1714.437.7665
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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