HomeMy WebLinkAboutS2020-0189 - Permit ApplicationWORKSHEET FOR POOL COMBINATON PERMIT APPLICATION
' CITY OF NEWPORT BEACH
1I1 M
BUILDING DIVISION
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
398 VISTA BAYA, NEWPORT BEACH, CA 92660
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK NEW MAIN DRAIN TO REACH BUILDING CODE, NEW SKIMMER, NEW BAJA STEP, NEW POOL EQUIPMENT
(SAME LOCATION) PARTIAL NEW DRAINAGE TO BE CONECTED ON EXISTING. ESTIMATED-$ VALUATION $ 21,000.00
AND NEW POOL PLASTER/PEBBLE
SWIMMING POOL. EZ SPA 2rq.S OOL FENCING ❑
Check Anoronriate box for Annlicant
DRAINAGE EZ
3. OWNER'S NAME LAST FIRST
FARREL JOHN
ADDRESS
OWNER'S E-MAIL ADDRESS
398 VISTA BAYA
jfarre1174@mac.com
CITY STATE ZIP
PHONE NO.
NEWPORT BEACH CA 92660
(949) 981-0805
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
BIEDENBACH CRISTOPHER
74003
ADDRESS.
ENGINEER'S E-MAIL ADDRESS
1201 N. TUSTIN Ave.
ChrlsB@pooleng.com
CITY STATE ZIP
PHONE NO
ANAHEIM CA 92807
(714) 630.6100
Q 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
MONACO LUXURY POOLS
BT30067040
922992 B,C53
No. Class
ADDRESS
CONTRACTOR'SE-MAILADDRESS
3533 CALLE LA QUINTA
daniel@monacoluxurypools.com
CITY STATE ZIP
PHONE NO.
SAN CLEMENTE CA 92673
(949) 874-5552
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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