HomeMy WebLinkAboutS2021-0008 - Permit ApplicationANY \Ylr!)RT ✓ lti 2-1V l - c)�
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
0'���•�" ` CITY OF NEWPORT BEACH
PLEASE PRINT OR TYPE BUILDING DIVISION
1. PROJECT ADDRESS (NOT MAILING ADDREss>
460 Catalina Dr
I LOT
2. DESCRIPTION O11WORN
SWIMMING POOL
Check Appropriate box
- OWNER'S NAME
Lukei
ADDRESS
460 Catalina Dr
CITY
Newport Beach
4. ENGINEER'S NAME
Lacher
ADDRESS
1201 N. Tustin Ave
CITY
Anaheim
® 5. CONTRACTOR'S NAME
Mission Pools
22600 Lambert E-1104
CITY
Lake Forest
OFFICE USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
FOrMSIP001 spa app] (rev3-04) bs
Pool 415 so It
ESTIMATED $ VALUATION 40,000
SPA [I POOL FENCING ❑ DRAINAGE
Sean
ZIP
92663
Todd
949.337.0334
67656
Ca 92807 1714.630.6100
Ca 92660
949.588.0100
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