HomeMy WebLinkAboutS2021-0132 - Permit ApplicationNc wruk ;,
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH�� (�21 01%2
BUILDING DIVISION v"
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1822 Leeward In
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 400 sq ft w1 gas and electric to future fire pit, bbq and fireplace
ESTIMATED $ VALUATION 45000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Applicant
3. OWNER'S NAME LAST FIRST
Hamming David
ADDRESS
OWNER'S E-MAIL ADDRESS
1822 Leeward In
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
949.322.3676
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 928007
1714.630.6100
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Alderete Pools
No. 830602 classC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
63 Via Pico Plaza #447
CITY STATE ZIP
PHONE NO.
San Clemente Ca 92672 1949.492.7289
CE USE ONLY
PERMIT NO.
PLAN CHECK NO. Ell
POOL P/C FEE $
DRAINAGE P/C FEE $ Y✓
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