HomeMy WebLinkAboutS2023-0126 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
o� CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
5 Landport
LEGAL DESCRIPTION
LOT 58 BLOCK TRACT 15478
2. DESCRIPTION OF WORKNew Spa: 9'6" wide x 18'0" Long Max Perimeter: 55', Finish Depth: 4' Max
Area: 170sq ftElevation: +0" ESTIMATED $ VALUATION $30,000
SWIMMING POOL ❑ SPA POOL FENCING ❑ DRAINAGE
Check Aoorooriate box for Aoolicant
3. OWNER'S NAME LAST FIRST
Hill Ron and Natalia
ADDRESS
OWNER'S E-MAIL ADDRESS
5 Landport I
Ron.hill@hillcrane.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
562-682-7065
4. ENGINEER'S NAME T FIRST
-n
LICENSE NO.
ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY STATE ZIP
PHONE NO.
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Jose Cabrera
1061813
No, 53 Class C
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
2961 W MacArthur Blvd #128
info@ocpoolscapes.com
CITY STATE ZIP
PHONE NO.
Santa Ana CA 92704
949-444-3629
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
�ZesC�� � D l26
Forms\Pool spa appl (rev3-04).xls