HomeMy WebLinkAboutS2021-0189 - Permit Application (2)WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
" v CITY OF NEWPORT BEACH `S/q
BUILDING DIVISION
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1730 Bonaire Way
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool Remodel- add Spa toe . pool. Reshape pool, add baja, n
New 645 sq ft- Ex 560 sq It m r`59Q, hQt�-PI ESTIMATED $ VALUATION 32,000
SWIMMING POOL is SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
3. OWNER'S NAME LAST FIRST
Boden Neil
ADDRESS
OWNER'S E-MAIL ADDRESS
1730 Bonaire Way
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
951.823.7760
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
PI tinum Pools
o. 1023429 classC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
1052 Ford St
CITY STATE ZIP
PHONE NO.
Corona Ca 287 1949.629.4841
:E USE ONLY �+
PERMIT NO. S?;dz( (j121 �1AZ �� bZUS f yo2 • < �
PLAN CHECK NO.
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POOL PIC FEE $
DRAINAGE P/C FEE $ I r� ✓�
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