HomeMy WebLinkAboutS2021-0167 - Permit Application51odl- 016T
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION—�1
PLEASE PRINT OR TYPE %� �;
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1. PROJECT ADDRESS (Nor MAILING ADDRESS)
880 Irvine Avenue (t U/L CI, r Cam'
LOT BLOCK TRACT I
2. DESCRIPTION OF WORK New swimming pool, (2) new spas
ESTIMATED $ VALUATION $340,000
SWIMMING POOL ® SPA ❑X , L1 POOL FENCING ❑ DRAINAGE ❑
Check Annronriate hox for Annlicant
❑ 3. OWNER'S NAME LAST FIRST
Ranscapes
ADDRESS
OWNER'S E-MAIL ADDRESS
30 Hughes, #209
CITY STATE ZIP
PHONE NO.
Irvine CA 92618
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Canfield Jeffery
C63595
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1050 Campanile
jeff@jeffcanfeld.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
949-383-8275
5. CONTRACTOR'S NAME
BUSINESS LICENSE
LICENSE
Aquatic Technologies
BT97021623177
TSTAT7444E
53,A,6
CClass
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
32232 Paseo Adelanto, Ste A
iranda@aquatictechnologies.co
CITY STATE ZIP
PHONE NO.
San Juan Capistrano, CA 92675
1949-493-9548
;E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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FornnMPool spa appl (rev3-04). As