Loading...
HomeMy WebLinkAboutS2022-0054 - Permit Applicationgw "� WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION °4 = mr CITY OF NEWPORT BEACH f'•CIf11PP•� BUILDING DIVISION 1'LCASC F'RINI VR 1 TYC 1. PROJECT ADDRESS (NOT MAILING ADDRESS) 2401 Windward Ln LEGAL DESCRIPTION LOT BLOCK TRACT 2. DESCRIPTION OF WORK Pool and Spa 420 sq ft gas and electric to BBQ ESTIMATED $ VALUATION 45,000 SWIMMING POOL ® SPA ® POOL FENCING ❑ Check Aoorooriate box for Aoolicant DRAINAGE 3. OWNER'S NAME LAST FIRST Windward LLC l C614 ADDRESS OWNER'S E-MAIL ADDRESS 2401 Windward Ln CITY STATE ZIP PHONE NO. Newport Beach Ca 92660 949.244.6745 ❑ 4. ENGINEER'S NAME LAST FIRST LICENSE NO. Matt Thompson 86051 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 INO.923975 Bret Steele Class C5 ADDRESS CONTRACTOR'S E-MAIL ADDRESS 4921 E Leeds Ave CITY STATE ZIP PHONE NO. Orange Ca 92867 714.496.1427 :E USE ONLY PERMIT NO. F7GMNP.1*004Z101 POOL P/C FEE $ 52oZZ.- DO54 -y4'D22.OD4it E27,%L 61L� D�� .2o2v Un- 0 vv D DRAINAGE P/C FEE $ Forms\Pool spa appl (rev3-04).)ds 00l2•Zo22�