HomeMy WebLinkAboutS2021-0226 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
20 Bridgeport Rd
2.
SWIMMING POOL
BLOCK
Pool 455 sq ft
SPA ❑
Check Appropriate box for Applicant
TRACT
ESTIMATED $ VALUATION 40000
POOL FENCING ❑ DRAINAGE
E] 3. OWNER'S NAME LAST FIRST
McMillan Jane
ADDRESS
OWNER'S E-MAIL ADDRESS
20 Bridgeport Rd
CITY STATE ZIP
PHONE NO.
Newport Coast Ca 92657
949.903.4257
0 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Biedenbach Chris
74003
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807
1714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Cs3
Dreamscapes by MGR
14o.(01 Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
1901 Newport Blvd #350
CITY STATE ZIP
PHONE NO.
Costa Mesa Ca 92627 1949.608.1726
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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