HomeMy WebLinkAboutS2020-0144 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
FenO -" � 1
r CITY OF NEWPORT BEACH � 2
CnocM
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
4527 Tremont Ln.
LEGAL DESCRIPTION
LOT 83 BLOCK TRACT 3357
2. DESCRIPTION OF WORK Pool and
ESTIMATED $ VALUATION
SWIMMING POOL ® SPA POOL FENCING ❑
Check Appropriate box for Applicant
DRAINAGE ❑
3.
OWNER'S NAME LAST
PIRST
4527 Tremont, LLC
.ADDRESS
OWNER'S E-MAIL ADDRESS
1 Corporate Plaza Dr. Suite 110
Nanci@nicholsoncompanies.com
CITY STATE
ZIP
P Y 756-8393
Newport Beach
CA, 92660
Cell: 714-865-4465
[34.
ENGINEER'S NAME LAST
FIRST
LICENSE NO.
Biedenbach, Christopher
74003
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave.
CITY STATE
ZIP
PHONE NO.
Anaheim, CA
92807
714-630-6100
5.
CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Steele Pools
53-923975
No. Class C
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
4921 E. Leeds Ave.
bsteele27@yahoo.com
CITY STATE
ZIP
PHONE NO.
Orange CA
92867
714-496-1427
OFFICE USE ONLY
PERMIT NO. W
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xis