HomeMy WebLinkAboutS2022-0036 - Permit Application62022-005tp
�` "° "r WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
,� m
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p > a CITY OF NEWPORT BEACH (^v/
C•IC/Y114N"
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS),
2 rue Deauville Newport Beach, CA 92660
LOT
BLOCK
1I0.1LON
2. DESCRIPTION OF WORK Resurface spa, Install new drain covers, new trim tile and new LED light
ESTIMATED $ VALUATION $7,595.00
SWIMMING POOL ❑ SPA 12 POOL FENCING ❑ DRAINAGE ❑
f -k 1, Annr..nri non hnv fnr Annlicanf
3. OWNER'S NAME
LAST
FIRST
Carle
Alyssa
ADDRESS
OWNER'S E-MAIL ADDRESS
2 rue Deauville
CITY
STATE
ZIP
PHONE NO.
Newport Beach
CA
92660
949-508-1577
4.
ENGINEER'S NAME
LAST
FIRST
LICENSE NO.
ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY
; STATES
�ZIR;
PHONE NO.
a
5.
CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
C53,C61.D51
Alan Smith Pools
No. 571196 class
ADDRESS
--:
CONTRACTOR'S E-MAIL ADDRESS
227 W. CARLETON AVE
CITY
STATE
ZIP
PHONE NO.
ORANGE
CA
92867
714-423-0179
Z USE ONLY
PERMIT N0,
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).x15