HomeMy WebLinkAboutS2021-0118 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE 5 L U L U l It
1. PROJECT ADDRESS (NOT MAIuNG ADDRESS)
2218 Francisco Dr
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION
SWIMMING POOL
Pool and Spa 760 sq ft
Gas and electric o BBI
2
Check Appropriate box for Applicant
ire ra 48,000
_ ESTIMATED $ VALUATION
POOL FENCING ❑ DRAINAGE
® 3. OWNER'S NAME LAST FIRST
Guyser Jason
ADDRESS
OWNER'S E-MAIL ADDRESS
2218 Francisco Dr
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
949.514.5226
0 4_ ENGINEER'S NAME LAST FIRST
LICENSE NO.
Biedenbach Chris
74003
ADDRESS
ENGINEER'S EJalA1L ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807
714.630.6100
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
o. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
CITY STATE ZIP
PHONE NO.
OFFICE USE ONLY {7
PERMIT NO. S2�sLi Ol l b 2c�L J V n
'�
PIAN CHECK NO.
POOL PIC FEE $
DRAINAGE PIC FEE $
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