HomeMy WebLinkAboutS2022-0019 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
(NOT MAILING ADDRESS)
710 Avocado
2. DESCRIPTION OF WORK Spa 42 sq ft with gas and electric to bbq
ESTIMATED $ VALUATION 20,000
SWIMMING POOL ❑ SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
3. OWNER'S NAME LA T PIRST
Painter
ADDRESS
OWNER'S E-MAIL ADDRESS
710 Avocado
CITY STATE ZIP
PHONE NO.
Corona Del Mar Ca 92625
949.885.6501
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.
Anaheim Ca 92807
1714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Landcrafters Inc
354407)1 G53
N . Class "
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
30100 Town Center Dr #0-251
CITY STATE ZIP
PHONE NO.
Laguna Niguel Ca 92677
949.249.1086
:E USE ONLY
PERMIT NO. AZZ -OP I (I 1 ZO2,&•Op I O
PLAN CHECK NO. dIb+� QV2Y
POOL P/C FEE $
DRAINAGE P/C FEE $ 12LO ICl > gain
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