HomeMy WebLinkAboutS2020-0205 - Permit ApplicationF �" "' ""r WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
` CITY OF NEWPORT BEACH
BUILDING DIVISION S7ip20 ^ pzC)S"
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2018 Commodore Rd
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool Repaster, drainage
600 Sq ft ESTIMATED $ VALUATION 7500
SWIMMING POOL ® SPA ❑ POOL FENCING ❑ DRAINAGE
Check Annronriate box for Aoolicant
3. OWNER'S NAME LAST FIRST
Sheps Brian
ADDRESS
OWNER'S E-MAIL ADDRESS
2018 Commodore Rd
CITY STATE ZIP
PHONE NO.
92660
Newport Beach Ca
949.232.8419
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
Brian's Pool Plastering
No. 821323 classC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
7272 Walnut Ave
CITY STATE ZIP
PHONE NO.
Buena Park Ca 90620
1866.662.5423
X USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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