HomeMy WebLinkAboutS2022-0089 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
30 Wharfside
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 264 sq ft- gas and electric to bbq and fire pit
ESTIMATED $ VALUATION 39,000
SWIMMING POOL ® SPA ® POOL FENCING ❑
Check Appropriate box for Applicant
DRAINAGE
3. OWNER'S NAME LAST FIRST
Manley Brian
ADDRESS
OWNER'S E-MAIL ADDRESS
30 Wharfside
CITY STATE ZIP
PHONE NO.
Newport Coast Ca 92657
702.985.8851
❑ 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
Teserra
lNo656128 ClassC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
245 W Baywood Ave #D
CITY STATE ZIP
PHONE NO.
Orange Ca 92865
1714.559.3320
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
lRy uv,,--
DRAINAGE P/C FEE $
Fortes\Pool spa appl (rev3-04).xls