HomeMy WebLinkAboutS2021-0084 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
JECT ADDRESS (NOT MAILING ADDRESS)
1027 MARINERS DR, NEWPORT BEACH, CA 92660
TRACT
2. DESCRIPTION OF WORK SWIMMING POOL AND SPA REMODEL 775
ESTIMATED $ VALUATION $15,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Awrooriate box for Annlicant
3. OWNER'S NAME LAST FIRST
BINFORD, JIM
ADDRESS
OWNER'S E-MAIL ADDRESS
1027 MARINERS DR
CITY STATE ZIP
PHONE NO.
NEWPORT BEACH CA 92660
949-683-1775
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
TODD, LACHER
67656
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. TUSTIN AVE.
INFO@POOLENG.COM
CITY STATE ZIP
PHONE NO.
ANAHIEM CA 92807
1714-630-6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
WATERWORX POOLS INC.
BT30074831
INO.1059336 ClassC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
202 Fashion Lane Suite 219
INFO@WATERWORXPOOLS.COM
CITY STATE ZIP
PHONE NO.
TUSTIN CA 92780
714-714-0424
,E USE ONLY r
PERMIT NO. ��� l — CD l ) L(
PLAN CHECK NO. D &JETC. —
POOL P/C FEE $
DRAINAGE P/C FEE $
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