HomeMy WebLinkAboutS2021-0130 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BE S2OZ(—
"' BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
6 Kingsport Dr
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool & Spa replastering
ESTIMATED $ VALUATION 6500
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for AoDficant
3. OWNER'S NAME LAT FIRST
Davenport Alan
ADDRESS
OWNER'S E-MAIL ADDRESS
6 Kingsport Dr
CITY STATE ZIP
PHONE NO.
Newport Coast Ca 92657
949.205.9529
0 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY / STATE ZIP
PHONE NO.
® 5. CONTRACTOR'S NAME .�
BUSINESS LICENSE
ST SE
Bret Steele
o.923975 ^ ass C
ADDRESS
CONTRACTOR'S E-MAIL AD ESS
4921 E. Leeds Ave
CITY STATE ZIPPHONE
NO.
Orange Ca 92867
714.496.1427
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).ads