HomeMy WebLinkAboutS2020-0196 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION ct)nln -Dip O
YLCASC YKIW / UK I TYt V
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
8 Old Course Dr
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 561 sq ft
ESTIMATED $ VALUATION 45,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Applicant
3. OWNER'S NAME LAT FIRST
Pelton Kevin
ADDRESS
OWNER'S E-MAIL ADDRESS
8 Old Course Dr
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
310.936.8960
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Lenehan Kyle
82227
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1024 Iron Point Ste 100-1486
CITY STATE ZIP
PHONE NO.
Folsom Ca 95630
1916.287.1445
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Premier Pools and Spas
iNo.798298 clas
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
26052 Merit Circle #106
CITY STATE ZIP
PHONE NO.
Laguna Hills Ca 92653
94.9.215.4144
X USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Fortes\Pool spa appl (mv3-04).xls
5770