HomeMy WebLinkAboutS2022-0102 - Permit Application_S Zo 2 Z - p.0 2-
Wa t4mo WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
U��ar CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS) --�
8 Windsor
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK REPLASTER POOL &
REPLACE TILE
SWIMMING POOL ® SPA
Check Appropriate box for Applicant
\, REPLACE DRAIN COVERS,
_ ESTIMATED $ VALUATION $22,371.00
POOL FENCING ❑ DRAINAGE ❑
3. OWNER'S NAME LAST FIRST
Lee Nancy
ADDRESS
OWNER'S E-MAIL ADDRESS
8 Windsor
nancylee14@att.net
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
(714) 343-2573
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
STATE LICENSE
PAUL WILLIAMS
C53 C61 D51No.
571196 Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
227 W CARLETON AVE
PAUL.WILLIAMS@ALANSMITHPOOLS.COM
CITY STATE ZIP
PHONE NO.
ORANGE CA 92867
714-423-0179
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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Forms\Pool spa appl (rev3-04).xls