HomeMy WebLinkAboutS2019-0102 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
'(I•V 0.N•T
Gj201c1- U10'� BUILDING DIVISION
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
200 Promontory Point Drive, West, Newport Beach, CA 926tou
HEALTH DEPT.
ADDRESS
OWNER'S E-MAIL ADDRESS
LEGAL DESCRIPTION APN: 050 241 05 CENSUS TRACT:
LOT PCL1 BLOCK
E30.05
TRA
CITY STATE ZIP
2. DESCRIPTION OF WORK
Pool & Spa Replaster, Waterline Tile Replacement &
Handrail Replacement
SWIMMING POOL SPAM
Check Aoorooriate box for Anolicant
ESTIMATED$ VALUATION 501000
POOL
DRAINAGE ❑
3. OWNER'S NAME LAST FIRST
The Irvine Company Friedman Phillip
ADDRESS
OWNER'S E-MAIL ADDRESS
550 Newport Center Drive
pfriedman@irvinecompany.com
CITY STATE ZIP
PHONE N0,
Newport Beach CA 92660
949-720-2000
4. 9gGTNn9TS NAME LAST FIRST
LICENSE NO.
�6K.
ADDRESS I �j In
ENGINEER'S E-MAIL ADDRESS
CITY STATE ZIPPHONE
NO.
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jj 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
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lNo.51;& 4 W4� ,,aar
ADDRESS -
CONTRACTOR'S E-MAIL ADDRESS
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CITY STATE ZIP
PHONE NO.
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t�1 •551.S81]
OFFICE USE ONLY
PERMIT NO.
PLAN CHECK NO. 1�J� IO • �j,01 °�
POOL P/C FEE $ (0�q. Ds
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls