HomeMy WebLinkAboutS2021-0009 - Permit ApplicationJ4
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1915 Windward Ln
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 461 sq ft (Electric panel upgrade to 200 amp)
Gas and electric to bbq, fire pit, fireplace ESTIMATED $ VALUATION 50,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Annlicant
3. OWNER'S NAME LAST FIRST
Bums
ADDRESS
OWNER'S E-MAIL ADDRESS
1915 Windward Ln
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
714.232.4110
❑ 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Lacher Todd
67656
ADDRESS
ENGINEER'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
Real Plants Inc
No. 883497 classC5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
27762 Antonio Parkway #L1636
CITY STATE ZIP
PHONE NO.
Ladera Ranch Ca 92694 1949.429.3605
CE USE ONLY c �%
PERMIT NO. v //V 1
PLAN CHECK NO. V O� ' P2-o Zj
POOL P/C FEE $
DRAINAGE P/C FEE $
I-ormall'ool spa appl (reJ3-04).)ds