HomeMy WebLinkAboutS2021-0130 - Permit Application (2)WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
(NOT MAILING ADDRESS)
6 Kingsport Dr
2. DESCRIPTION OF WORK Pool & Spa replastering
TRACT
ESTIMATED $ VALUATION 6500
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
E] 3. OWNER'S NAME LAT FIRST
Davenport Alan
ADDRESS
OWNER'S E-MAIL ADDRESS
6 Kingsport Dr
CITY STATE ZIP
PHONE NO.
Newport Coast Ca 92657
949.205.9529
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
ADDRESS /
ENGINEER'S E-MAIL ADDRESS
CITY / STATE ZIP
PHONE NO.
® 5. CONTRACTOR'S NAME,,
BUSINESS LICENSE
Bret Steele
koT923M75assC
ADORES$
CONTRACTOR'S E-MAIL ADD ESS
4921 E- Leeds Ave
R
CITY STATE ZIP
PHONE NO.
Orange Ca 92867 1714.496.1427
OFFICE USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa app] (rev3-04).)ds