HomeMy WebLinkAboutS2020-0065 - Permit Application�` "�°Ar WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
° CITY OF NEWPORT BEACH
AL�Y�,"µ" BUILDING DIVISION
PLEASE PRINT OR TYPE Ck
1. PROJECT ADDRESS (No LING ADDRESS)
1430 NEWPORTER WAY
LOT BLOCK TRACT
2. DESCRIPTION OF WORK
SWIMMING POOL ❑
REPLASTER SPA, REPLACE DRAIN COVERS AND FITTINGS
ESTIMATED $ VALUATION $3,500
SPA ® POOL FENCING ❑ DRAINAGE ❑
Chock AnnronriatP hnx for Annilcant
3. OWNER'S NAME LAST FIRST
WHITESIDES ROBIN
ADDRESS
OWNER'S E-MAIL ADDRESS
1430 NEWPORTER WAY
ROBINWHITESIDES@YAHOO.COM
CITY STATE ZIP
PHONE NO.
NEWPORT BEACH CA 92660
949-394-1410
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
ALAN SMITH POOL PLASTERING INC
=STATESE
53
ClassC
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
227 W. CARLETON AVE
jonathan.cardenas@alansmithpools.com
CITY STATE ZIP
PHONE NO.
ORANGE CA 92867
714-497-8339
OFFICE USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls