HomeMy WebLinkAboutS2020-0094 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWYPORT BEACH
BUILDING DIVISION
PI FBSF PRINTnw T— PF
1 _ PROJECT ADDRESS YNQT MAIUNG AWRESSj
301 Milford Drive
LEGAL DESCRIPTION
LOT 171 BLOCK TRACT3357
2. DESCRIPTION OF WORK New Pool as shown on plans under permit # X2019-3005
ESTIMATED $ VALUATION 108,000
SWIMMING POOL [21 SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
3.
OWNER'S NAME
LAST
FIRST
Prichard
John and Carolina
ADDRESS
OWNER'S EMAIL ADDRESS
PO Box 176
cameoclan@aol.com
CITY
STATE
ZIP
PHONE NO.
Corona Del Mar
CA
92625
949-7214030
4.
ENGINEER'S NAME
LAST
FIRST
LICENSE NO.
Universal Engineering
74572
ADDRESS
ENGINEER'S E-MAIL ADDRESS
17 Gary ave
info universalen .net
CITY
STATE
ZIP
PHONE NO.
Santa Ana
CA
927068
949-788-0424
5.
CONTRACTOR'S NAME
\
BUSINESS LICENSE
STATE LICENSE
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ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
244oad
on fiadderr!erastri,lc,�j @9mail.com
CITY
STATE
ZIP
PHONE NO.
D4oa.2o0t
—
926"Zg--
949-
:E USE ONLY
PERMIT NO.
PLAN CHECK NO. m 6
POOL P/C FEE $
DRAINAGE P/C FEE S
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