HomeMy WebLinkAboutS2024-0090 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
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LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK
SWIMMING POOL ja
Pao 1 2 32 CA SO-
0 L-F 24" gwoI - ESTIMATED $ VALUATION
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SPA POOL FENCING ❑
Check A propriate box for Applicant
DRAINAGE ❑
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3. OWNER'S NAME LAST FIRST
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ADDRESS
OWNER'S E-MAIL ADDRESS
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CITY STATE ZIP
PHONE NO.
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4. EN NEER'S NAME LAST FIRST
LICENSE NO.
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ENGINEER'S E-MAIL ADDRESS
CITY STATE ZIP
PHONE NO.
CA
714) - 3G
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
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Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
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CITY ZIP
PHONE NO.
STATE
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PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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Fortes\Pool spa appl (rev3-04).xls