HomeMy WebLinkAboutS2020-0026 - Permit Application"`' '"kr;� WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
U�� CITY OF NEWPORT BEACH
BUILDING DIVISION S ��. D 0
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
3712 Channel Place, Newport Beach, CA 92663
LEGAL DESCRIPTION
LOT BLOCK TRACT
2..^ESCRIPTION OF WORK Fiberglass Pool Installation
ESTIMATED $ VALUATION 28,500
;MING POOL x❑ SPA ❑ POOL FENCING ❑ DRAINAGE ❑
box for
Wells
Winfield
ADDRESS
.'3712 Channel Place
OWNER'S E-MAIL ADDRESS
winfieldwells@gmail.com
CITY
STATE
ZIP
PHONE NO.
Newport Beach -
CA
92663
(323)573-4055
ENGINEER'S NAME
LAST
FIRST
LICENSE NO.
Poindexter
Donald
C24420
ADDRESS
I
ENGINEER'S E-MAIL ADDRESS
,10140 Starr Road
I
CITY
STATE
HONE NO.
(indsor
CA
95492=707-495-0420
=BUSINESS
CONTRACTOR'S NAME
LICENSE STATE LICENSE
' V -1-P. Construction
ADDRESS
No. 664861 Class C53
-
CONTRACTOR'S E-MAIL ADDRESS
" 22365 E1 Toro Rd., #201
Vipcoinc@gmail.com
CITY
STATE
ZIP PHONE NO.
Lake Forest
CA
92630
949-444-2286
r"I-C Uar vivLY
PERMIT NO.
PLAN CHECK NO,
POOL P/C FEE $
DRAINAGE P/C FEE $
FormslPool spa appl (rev3-04) An