HomeMy WebLinkAboutS2022-0190 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1533 Sylvia Ln
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 314 sq ft
SWIMMING POOL ® SPA
Check Annronriate box for Annlicant
ESTIMATED $ VALUATION 36000
POOL FENCING ❑ DRAINAGE
3. OWNER'S NAME LAST FIRST
Correa Kara
ADDRESS
OWNER'S E-MAIL ADDRESS
1533 Sylvia Ln
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
925.202.8032
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Lenehan Kyle
82227
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1024 Iron Point Ste 100-1486
CITY STATE ZIP
PHONE NO.
Folsom Ca 95630
1916.287.1445
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
iNo798298
Premier Pools and Spas
ClassC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
26052 Merit Circle #106
CITY STATE ZIP
PHONE NO.
Laguna Hills Ca 92653
1949.215.4144
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls