HomeMy WebLinkAboutS2023-0160 - Permit ApplicationI. IYik
r WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
370 Vista Baya, Newport Beach, CA 92660
LEGAL DESCRIPTION
LOT 6
BLOCK
2. DESCRIPTION OF WORK New Pool and
SWIMMING POOL 0 SPA 0
Check ADorooriate box for Annlirant
IICL'L01
outlet.
_•'ESTIMATED $ VALUATION
POOL FENCING ❑
DRAINAGE Q
Y
0 3. OWNER'S NAME LAST FIRST
Meeker, Richard
ADDRESS
OWNER'S E-MAIL ADDRESS
370 Vista Baya
richardmeeker@me.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
949-636-3700
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Lo"1 LP S
ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY STATE ZIP
PHONE NO.
Q 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
OC POOLSCAPES
CONTRACTORS
1061813 C53
No. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
2961 W MacArthur Blvd Unit 128
info@ocpoolscapes. cam
CITY STATE ZIP
PHONE NO.
SANTA ANA CA 92704
949-444-3629
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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