HomeMy WebLinkAboutS2022-0220 - Permit Application`°�'WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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CITY OF NEWPORT BEACH 2077 -0212D
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS) 3 Huntington Court
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK REPLAS T ER POOL & SPA, REPLACE LED POOL/SPA LIGHTS. REPLACE DRAIN COVERS
REPLACE RETURN FITTINGS, REPLACE TILE
SWIMMING POOL ❑ SPA ❑
Check Appropriate box for AoDlicant
F ESTIMATED $ VALUATION 30, p(,. DO
POOL FENCING ❑ DRAINAGE ❑
❑ 3. OWNER'S NAME LAST FIRST
Dryden Bob & Janet
ADDRESS
OWNER'S E-MAIL ADDRESS
3 Huntington Court
janetdryden1994@yahoo.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
949-278-5210
❑ 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
STATE LICENSE
Paul Williams
C61-D51-053
No. 571196 Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
227 W. CARLETON AVE
PAUL.WlLLIAMS@ALANSMITHPOOLS.COM
CITY STATE ZIP
PHONE NO.
ORANGE CA 92867
714-423-0179
OFFICE USE ONLY
PERMIT N0. `Szf'U7
PLAN CHECK NO. jC�GL�wyV
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).x1s