HomeMy WebLinkAboutS2019-0155 - Permit Application (2)��.,."kr WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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�, . 4,,. CITY OF NEWPORT BEACH _
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING UEE s1
200 Promontory Point Drive, Newport Beach, CA 92660
LEGAL DESCRIPTION APN: 050 241 05 CENSUS TRACT: 630.05
LOT PCL1 BLOCK TRACT
2. DESCRIPTION OF WORK East Pool
Pool & Spa Replaster, Waterline Tile Replacement &
Handrail Replacement, & Coping
SWIMMING POOL b SPA%
Check Appropriate box for Applicant
ESTIMATED $ VALUATION
POOL FENCING ❑ 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 NO.
Newport Beach CA 92660
949-720-2000
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Ao,y75� j, l
356 s
ADDRESS
ENGINEER'S E-MAIL ADDRESS
170 Nf 2-10
f5abi„ 1110a.,
55-aAh5—/je"cam
CITY STATE ZIP
PHONE NO.
New o G �¢ gZ66d
qy._ 73`� 175
5. ONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
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22 TO&lNoo,,�-&Tq/Clas
ADDRESS
C{ONTRACTOR'S E-MAIL ADDRESS
CITY STATE Z -IPy�
ONE NO.
Lda-
71�1_SS�t
:E USE ONLY
PERMIT NO.
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PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Farms\Pool spa appl (rev3-04).xls