HomeMy WebLinkAboutS2022-0031 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1591 Orchard Dr
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 405 sq ft
SWIMMING POOL ® SPA
Check Appropriate box for Applicant
ESTIMATED $ VALUATION 38,000
POOL FENCING ❑ DRAINAGE
❑ 3. OWNER'S NAME LAST FIRST
Fusswinkel Steven
ADDRESS
OWNER'S E-MAIL ADDRESS
1591 Orchard Dr
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
516.884.0228
❑ 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
Premier Pools and Spas
iNo.798298 C1assC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
26052 Merit Circle #106
CITY STATE ZIP
PHONE NO.
Laguna Hills Ca 92653
1949.215.4144
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
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DRAINAGE P/C FEE $
Forms\Pool spa appl (reQ-04).xls