HomeMy WebLinkAboutS2024-0075 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
s,
-., CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1821 Highland Dr Newport Beach, CA 92660
LEGAL DESCRIPTION
LOT 3 BLOCK 3057 TRACT
2. DESCRIPTION OF WORK New wl. Pool Dimension: M' x25'W Pedmeler76' Finished Depttr 3'6-105'0" A :261 sqft, Elaim: 0"
Nm Spe.Spa Dimensions_ 7'0'kT0' Penmeter26' Fnshed0 pN76" Are 49 aR EI r 6• ESTIMATED $ VALUATION 54.aoo
SWIMMING POOL 0 SPA I] POOL FENCING ❑ DRAINAGE 0
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3.
OWNER'S NAME LAST
FIRST
ADDRESS
OWNER'S E-MAIL ADDRESS
CITY STATE
ZIP
PHONE NO.
4.
ENGINEER'S NAME LAST
FIRST
LICENSE N0.
ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY STATE
ZIP PHONE NO.
❑r 5.
CONTRACTOR'S NAME
BUSINESS LICENSE STATE LICENSE
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Jose Cabrera
#1061813 ND106t813
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
2961 W MacArthur Blvd Unit 128
Permits@ocpoolscapes.com
CITY STATE
ZIP
PHONE NO.
Santa Ana CA
92704 1
949-444-3629
CE USE ONLY //y�y7 % [/�
PERMIT NO. S `� W / 5 Uu 07C� �5
PLAN CHECK NO. Pc ZoZy .10 13
POOL P/C FEE $
DRAINAGE P/C FEE $