HomeMy WebLinkAboutS2023-0082 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
rL-CAOC rKIN 1 VR 1 irC
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2018 Leeward Ln
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and
37 LF of 6' Block Wall (city std)
SWIMMING POOL ® SPA
Check Annrnnriate hnx for Aonlicant
605 sq ft, gas to fire pit, electrical outlet
ESTIMATED $ VALUATION 60000
POOL FENCING ® DRAINAGE
3. OWNER'S NAME LAST FIRST
Peranio Kevin
ADDRESS
OWNER'S E-MAIL ADDRESS
2018 Leeward Ln
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
949.816.2623
❑ 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Biedenbach Chris
74003
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
iNo440333classC53
Swan Pools
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
24512 Bridger Rd
CITY STATE ZIP
PHONE NO.
Lake Forest Ca 92630
1949.859.8466
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
i(►Y1.y23- 0561 15110 0.0001
jMxj,' , caq4�2
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls