HomeMy WebLinkAboutS2021-0033 - Permit Application (2)91,
PLEASE PRINT
WORKSHEET FOR POOL COMBINATION
CITY OF NEWPORT BE/
BUILDING DIVISION
APPLICATION
S2021-0033
"I: VKUJtI:i AIJUKtZRj(NOT MAILING ADDRESS) ®
2451 Marino Dr °SATO /e9a
2. DESCRIPTION OF WORK Spa 80 sq ft
gas to BBQ 22,000
ESTIMATED $VALUATION
SWIMMING POOL ❑ SPA ® POOL FENCING ❑ DRAINAGE ❑
Check ADDrooriate box for Aoolicant
3. OWNER'S NAME LAST FIRS
Rooney
ADDRESS
OWNER'S E-MAIL ADDRESS
2451 Marino Dr
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
310.225.9830
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 classC5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
17401 Irvine Blvd #B
CITY STATE ZIP
PHONE NO.
Tustin Ca 92780
714.508.0557
USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls