HomeMy WebLinkAboutX2021-1826 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
` m
CITY OF NEWPORT
CH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2733 Wndover Dr
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 420 SG ft With gas to fire pit
t 5 t ok 3 6 fs'/�� J fLt WALL ESTIMATED $ VALUATION 44000
SWIMMING POOL EZ SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Applicant
3. OWNER'S NAME LAST FIRST
Butcher
ADDRESS
OWNER'S E-MAIL ADDRESS
2733 Windover Dr
CITY STATE ZIP
PHONE NO.
Corona Del Mar Ca 92625
949.664.3009
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Biedenbach Chris
74003
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807"
1714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Infinity Pool & Spa
1110.891370 ClassC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
28295 Camino Estribo
CITY STATE ZIP
PHONE NO.
Temecula Ca 92650 1714.262.9164
CE USE ONLY
PERMIT NO. Xt&24.ISZv SSV2A O ( j 3 11AI-1.0151;
PLAN CHECK NO. ✓ l�f b� ' go L L
POOL P/C FEE $
DRAINAGE P/C FEE $
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