Loading...
HomeMy WebLinkAboutS2022-0149 - Permit Applicationou, WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH �D1' ��� BUILDING DIVISION DI =ACC oowT no rvDP 1. PROJECT ADDRESS (NOT MAILING ADDRESS) 1911 Cliff Dr Newport Beach,. CA 92663 LOT 2. DESCRIPTION OF WORK REPLACE DRAIN COVERS SWIMMING POOL BLOCK TRACT REPLASTER POOL AND SPA, REPLACE TILE ESTIMATED $ VALUATION 20,192.00 SPA © POOL FENCING ❑ DRAINAGE ❑ Check Appropriate box for Applicant 3. OWNER'S NAME LAST FIRST Stone Robert ADDRESS OWNER'S E-MAIL ADDRESS 1911 Cliff Dr CITY STATE ZIP PHONE NO. Newport Beach CA 92663 (714) 328-2580 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 No.571196 Class ADDRESS CONTRACTOR'S E-MAIL ADDRESS 227 W. CARLETON AVE PAUL.WILLIAMS@ALANSMITHPOOLS.COM CITY STATE ZIP PHONE NO. ORANGE CA 92867 714-423-0179 :E USE ONLY PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ DRAINAGE P/C FEE $ Z02 Z - p f qg Forms\Pool spa appl (rev3-04).xls