HomeMy WebLinkAboutS2022-0148 - Permit Application„kr WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION 1\JUAA&6i-o ®v
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CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS) 75 Montecito Dr
Corona Del Mar, CA 92625
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK RESURFACE POOL AND SPA. REPLACE 3 POOL LIGHTS AND 1 SPA LIGHT
REPLACE DRAIN COVERS ESTIMATED $ VALUATION 22,771.00
SWIMMING POOL
SPA
Check Appropriate box for Applicant
POOL FENCING ❑ DRAINAGE ❑
3. OWNER'S NAME LAST FIRST
Geiler Sandra
ADDRESS
OWNER'S E-MAIL ADDRESS
75 Montecito Dr
CITY STATE ZIP
PHONE NO.
Corona Del Mar CA 92625
(949) 683-5879
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
C61 D51 C53
PAUL WILLIAMS
N0.571196 class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
227 W. CARLETON AVE
PAUL.WILLIAMS@ALANSMITHPOOLS.COM
CITY STATE ZIP
PHONE NO.
ORANGE CA 92867
1 714-423-0179
'E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
5z0zZ_6114$
Forms\Pool spa appl (rev3-04).xls