HomeMy WebLinkAboutS2020-0166 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH , QQ LQ
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
4 Rue Biarritz
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK add 42 sq It spa and baja shelf to existing pool- replaster pool, gas to fire pit
ESTIMATED$ VALUATION 24,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Applicant
Ej 3. OWNER'S NAME FIRST
Brown
ADDRESS
OWNER'S E-MAIL ADDRESS
4 Rue Biarritz
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
949.665.0219
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Thompson Matt
86051
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807
1714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Promontory Pools
iNo.404194 clan
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
17401 Irvine Blvd #B
CITY STATE ZIP
PHONE NO.
Lstin Ca 92780
1714.508.0557
:E USE ONLY �I
PERMIT NO. ljj 1 I v e�b(P
/ V
PLAN CHECK NO. � i/� /0 fJ I 1
POOL P/C FEE $ !
DRAINAGE P/C FEE $ I! io Z i i V
FolmslPool spa appl (rev3-04).)ds