HomeMy WebLinkAboutS2019-0165 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION 52�I a 0tL05
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2500 Baypointe Drive, Newport Beach, CA 92660
LEGAL DESCRIPTION APN: 442 061 29 CENSUS TRACT: 630.07
LOT PCL 1 BLOCK TRACT
2. DESCRIPTION OF WORK Main Pool andw,� y0g
Pool & Spa Replaster, Waterline Tile Replacement, ESTIMATED $ VALUATION $� k5Q—DzzD
Handrail Replacement & Coping Replacement
SWIMMING POOL SPA4% POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Aaglicant
3. OWNER'S NAME LAST FIRST
The Irvine Company Millard Chris
ADDRESS
OWNER'S E-MAIL ADDRESS
550 Newport Center Drive
cmillard@irvinecompany.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
949-720-2828
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY STATE ZIP
PHONE NO.
5. NAME
BUSINESS LICENSE
STATE LICENSE
I(CONTRACTOR'S
6(')) (Qtp
1
No. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
CITY STATE ZIP
PHONE NO.
11 OFFICE USE ONLY
PERMIT NO. S��� , �� C--
PLAN CHECK NO. 'L�-'►'t-- 'Z-��+ 1
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls