HomeMy WebLinkAboutS2022-0075 - Permit Application�OZCD A- 0 2c
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
22 Via Diamonte
LEGAL DESCRIPTION
LOT BLOCK TRACT
-( 40a4- I0M 5
as Vlk RCAOhh-e
2. DESCRIPTION OF WORK Pool and Spa 246 sq ft
ESTIMATED $ VALUATION 36,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
Check Aonrooriate box for Aoolicant
3. OWNER'S NAME wsr FIRST
Nowzari
ADDRESS
OWNER'S E-MAIL ADDRESS
22 Via Diamonte
CITY STATE ZIP
PHONE NO.
Newport Coast Ca 92657
949.350.0837
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
-7
Premier Pools and Spas
No. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
26052 Merit Circle #106
CITY STATE ZIP
PHONE NO.
Ca
Laguna Hills 92653
949.215.4144
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
07
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls