HomeMy WebLinkAboutS2021-0039 - Permit Applicationwr'o'
o�< ; "°r° WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
L"2 CITY OF NEWPORT BEACH
BUILDING DIVISION
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2408 Santiago Drive
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Re -Plaster Pool & Spa, Replace Drain Covers and Return Fittings, Replace Tile, Remove Coping from Spa
ESTIMATED $ VALUATION $32,000
SWIMMING POOL M SPA ® POOL FENCING ❑ DRAINAGE ❑
rhprk Annrnirl hnY for Annlicant
3.
OWNER'S NAME
LAST
FIRST
Purpero
Justin & Robyn
ADDRESS
OWNER'S E-MAIL ADDRESS
2408 Santiago Drive
purpero79@gmail.com
CITY
STATE
ZIP
PHONE NO.
Newport Beach
CA
92660
714-504-9730
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
Alan Smith Pool Plastering Inc.
1 571196 C-53
No. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
227 W. Carleton Ave
josh.fulfer@alansmithpools.com
CITY
STATE
ZIP
PHONE NO.
Orange
CA
92867
208-353-1082
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
S�o21-G'L'/
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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e \ m
CITY OF NEWPORT BEACH
BUILDING DIVISION
PI FGRF PRINT OR TYPF
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2408 Santiago Drive
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Re -Plaster Pool & Spa, Replace Drain Covers and Return Fittings, Replace Tile, Remove Coping from Spa
ESTIMATED $ VALUATION $32,000
SWIMMING POOL SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
3.
OWNER'S NAME
LAST
FIRST
Purpero
Justin & Robyn
ADDRESS
OWNER'S E-MAIL ADDRESS
2408 Santiago Drive
purpero79@gmail.com
CITY
STATE
ZIP
PHONE NO.
Newport Beach
CA
92660
714-504-9730
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
Alan Smith Pool Plastering Inc.
571196 C-53
No. CIa 5S
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
227 W. Carleton Ave
josh.fulfer@alansmithpools.com
CITY
STATE
ZIP
PHONE NO.
Orange
CA
92867
208-353-1082
OFFICE USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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Forms\Pool spa appl (rev3-04).xls