HomeMy WebLinkAboutS2023-0003 - Permit Application4-1 WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
48 Via Burrone Newport Beach, CA 92657
LOT 80
BLOCK 14070
TRACT 473-034-24
2. DESCRIPTION OF WORK remodel of existing pool, remove part of existing shell, increasing existing pool/spa
to 1045 SF ESTIMATED $ VALUATION $35,000
SWIMMING POOL x❑ SPA x❑ POOL FENCING ❑ DRAINAGE ❑
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3. OWNER'S NAME LAST FIRST
Azar, David and Ann
ADDRESS
OWNER'S E-MAIL ADDRESS
48 Via Burrone
annazer@gmail.com
CITY STATE ZIP
PHONE NO.
Newport Beach, CA 92657
(949) 751-8336
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Universal Engineering - Yao Zhang
74572
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1700 E. Garry Ave #106
info@universaleng.net
CITY STATE ZIP
PHONE NO.
Santa Ana, CA 92705
1 (949) 788-0424
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Westmod
BT30079735
C53-1053685
No. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
1276 E. Colorado Blvd Suite 210
reins@westmoddesign.com
CITY STATE ZIP
PHONE NO.
Pasadena, CA 91106
(626) 261-0825
:E USE ONLY
2
PERMIT NO. �D Z Li7D
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE PIC FEE $
Forms\Pool spa appl (rev3-04).xis