HomeMy WebLinkAboutS2017-0025 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
1. NROJtGI AUUKtSS (NOT MAILING ADDRESS)
4501 PERHAM, NEWPORT BEACH 92625
LEGAL DESCRIPTION
LOT 111 BLOCK TRACT 3357
2. DESCRIPTION OF WORK SHOTCRETE POOL AND SPA 840 SQ. FT
SWIMMING POOL ZI
ESTIMATED $ VALUATION 150.000
SPA Zj POOL FENCING ❑
Check Appropriate box for Applicant
DRAINAGE ❑
Ei 3. OWNER'S NAME LAST FIRST
PERHAM, LLC
ADDRESS
OWNER'S E-MAIL ADDRESS
4501 PERHAM
CITY STATE ZIP
PHONE NO.
NEWPORT BEACH CA 92625
949.756.2525
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
POOL ENGINEERING BIEDENBACH CHRIS
C-74003
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. TUSTIN
CITY STATE ZIP
PHONE NO.
ANAHEIM CA 92807
714-630-6100
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
DEVORE POOLS & SPAS
BT97026761
No.401549 ClassC-5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
PO BOX 828
DEVOREPOOLSPA COX.NET
CITY STATE ZIP
PHONE NO.
SAN JUAN CAPISTRANO CA 92693
949-493-4374
:E USE ONLY
PERMIT NO.
PLAN CHECK NO
POOL P/C FEE
DRAINAGE P/C FEE $
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