HomeMy WebLinkAboutS2020-0185 - Permit ApplicationS 2020.01 95
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION 1` 4 `g p0 y+ m U r g Are
CITY OF NEWPORT BEACH
BUILDING DIVISION
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1848 Port Margate
LEGAL DESCRIPTION
LOT ;/ BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 308 sq It
nd EI 'c to bbq and fire pit ESTIMATED $ VALUATION 35,000
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SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE EZ
Check Appropriate box for Applicant
3. OWNER'S NAME LAT FIRST
Pierce Kristin
ADDRESS
OWNER'S E-MAIL ADDRESS
1848 Port Margate
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
949.689.0846
E] 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
1714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Kevin Moody
BT30073407
03 5 CIas:G53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
9 Luzern
CITY STATE ZIP
PHONE NO.
Mission Viejo Ca 92592
619.453.3995
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PERMIT NO. 2��Q<- �G Iy 77_
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PLAN CHECK NO. � f:.✓�.� � ��L-�� ,� yrs
POOL P/C FEE $
DRAINAGE P/C FEE $
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