HomeMy WebLinkAboutS2021-0134 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
- CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
401 Kings Place, Newport Beach, CA 92663
LEGAL DESCRIPTION -I
LOT BLOCK TRACT
2. DESCRIPTION OF WORK New Pool, Spa, Equipment, Drainage, Deck
ESTIMATED $ VALUATION $145,000
SWIMMING POOL EK
Check Appropriate box for Applicant
POOL FENCING ❑
R' q
3. OWNER'S NAME LAST FIRST
Beaudette, Al
ADDRESS
OWNER'S E-MAIL ADDRESS
401 Kings Place
al.beaudette@untitedpacific.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92663
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Biedenbach, Christopher
74003
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave.
info@pooleng.com
CITY STATE ZIP
PHONE NO.
Anaheim CA 92807
(714) 630-6100
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Sunbrite Pools (Blake Farris)
BT30055711
NP83766 q-,§p
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
2549 Eastbluff Dr.
davidg@sunbritepools.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
(949)244-8442
OFFICE USE ONLY �7
PERMIT No. V1("'l- Sco2A U�,:)H XLUL�
PLAN CHECK NO. e Z-& 1
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls
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