HomeMy WebLinkAboutS2018-0188 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
SLMg 00 CITY OF NEWPORT BEACH
BUILDING DIVISION
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1. PROJECT ADDRESS (NOT MAILING ADDRESS)
870 SANDCASTLE DRIVE, NEWPORT BEACH 92625
LEGAL DESCRIPTION
LOT 81 BLOCK TRACT 6228
2. DESCRIPTION OF WORK SHOTCRETE SPA 129 SQ. FT
ESTIMATED $ VALUATION 50.000
SWIMMING POOL ❑ SPA ® POOL FENCING ❑
Check Appropriate box for Applicant
DRAINAGE ❑
3.
OWNER'S NAME
LAST
FIRST
BECK
JEFFERY
ADDRESS
OWNER'S E-MAIL ADDRESS
870 SANDCASTLE DRIVE
CITY
STATE
ZIP
PHONE NO.
NEWPORT BEACH
CA
92625
949.493.4374
4.
ENGINEER'S NAME
LAST
FIRST
LICENSE NO.
POOL ENGINEERING
TODD LACHER
C-67656
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
N0.401549 ciassC-53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
PO BOX 828
DEVOREPOOLSCCDCOX.NET
CITY
STATE
ZIP
PHONE NO.
SAN JUAN CAPISTRANO
CA
92693
949-493-4374
:E USE ONLY nn A,
PERMIT NO. S -W' p • Q `�V
PLAN CHECK NO. Q� p� t%
POOL P/C FEE $
DRAINAGE P/C FEE $
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