HomeMy WebLinkAboutS2021-0049 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
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BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1943 Port Locksleigh PI
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 442 sq It (Remov�SPg�
Gas and Electric to bbq and fire pit ESTIMATED $ VALUATION 40,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Awroariate box for Anulicant
❑ 3. OWNER'S NAME LAT FIRST
Taylor Sara
ADDRESS
OWNER'S E-MAIL ADDRESS
1943 Port Locksleigh PI
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
714.296.2622
10 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Biedenbach Chris
74003
ADDRESSENGINEER'S
E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807
714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Orange County Pools
I No. 83}7"1 , pass C5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS t�
960 6th St #101A-148
CITY STATE ZIP
PHONE NO.
Norco Ca 92860
714.225.2907
:E USE ONLY
PERMIT NO. —(Do q
PLAN CHECK NO. C>37
POOL P/C FEE $
DRAINAGE P/C FEE $
1-0"sWool spa appl (rev3-04).xls