HomeMy WebLinkAboutS2022-0045 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
VLCAAC rMIRI VR ITrC
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1854 Port Renwick
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 450 sq ft - gas and electric to bbq and fire pit
ESTIMATED $ VALUATION 50,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE EZ
Check Annronriate box for Annlicant
3. OWNER'S NAME LAST FIRST
Chisolm Joanna
ADDRESS
OWNER'S E-MAIL ADDRESS
1854 Port Renwick
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
949.939.2888
❑ 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Biedenbach Chris
74003
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807
1714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Orange County Pools
No839719 classC5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
960 6th St #101 A-148
CITY STATE ZIP
PHONE NO.
Norco Ca 92860
1714.225.2907
'E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
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DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls