HomeMy WebLinkAboutX2018-3589 - Permit Application04,
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
-�7O�cb' �'✓CITY OF NEWPORT BEACH
S20lg7' D'2 -A3 BUILDING DIVISION
PLEASE PRINT OR TYPE -* C"cet Lc d -*
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
LOT Y BLOCK TRACT
2. DESCRIPTION OF WORK 1-001 J t-001 lVaUll Cc DUIR III DD
tE TIMATED $ VALUATION 48,000.00
SWIMMING POOL ® SPA ® POOL F ING ❑ DRAINAGE
(_hcrlr Annrnnrinte hnu fnr Annlirant
3. OWNER'S NAME FAST FIRST
Stonewood Luxu Homes LLC
ADDRESSOWNER'S
E-MAIL ADDRESS
1906 Seadrift Dr
CITY STATE ZIP
PHONE NO.
Corona Del Mar CA 92625
714-904-8994
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
-i
ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY STATE ZIP
PHONE NO 2,
5, CONTRACTOR'S NAME
BUSINESS LICENSE
STATE L E
B,C53
INO.858505
LT Him annInc DBA InfinitePoo
Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
11748 Magnolia Ave Suite B
Kellie infinite ools.com
CITY STATE ZIP
PHONE NO.
Riverside CA 92503
951-354-9888
OFFICE USE ONLY
PLAN CHECK NO.
1`'s J�'✓
POOL P/C FEE $
DRAINAGE P/C FEE $� `�O" �� ` / �' ` ♦—
Farms\Pool spa appl (rev3-04).xls