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HomeMy WebLinkAboutS2019-0155 - Permit Applicationv •`""; WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH BUILDING DIVISION 1�2QIq- 015-' PLEASE PRINT OR TYPE 1. PROJECT ADDRESS (NOT MAILING ADDRESS) 200 Promontory Point Drive, West, Newport Beach, CA 92660 LEGAL DESCRIPTION APN: 050 241 05 CENSUS TRACT: 630.05 LOT PCL1 BLOCK TRACT 2. DESCRIPTION OF WORK West Pool Pool & Spa Replaster, Waterline Tile Replacement & ESTIMATED $ VALUATION S Handrail Replacement, & Coping SWIMMING POOL b SPA* POOL FENCING ❑ DRAINAGE ❑ Check Aaorooriate box for Aoolicant 3. OWNER'S NAME LAST FIRST The Irvine Company Friedman Phillip ADDRESS OWNER'S E-MAIL ADDRESS 550 Newport Center Drive pfriedman@irvinecompany.com CITY STATE ZIP PHONE NO, Newport Beach CA 92660 949-720-2000 4. ENGINEER'S NAME LAST FIRST LICENSE NO. Tho, s C_V�ti,n .5565 ADDRESS(( ENNGINEER'S E-MAIL ADDRESS 170 Afew ori' Cemlf/I - Or / j'k 20 1.&&A 1l{�© <55 •n5'iv o. COM CITY I STATE ZIP PHONE NO. New, vr4- Awl, 61 `240 I W"3145-15 5. CONTRACTOR'S NAME BUSINESS LICENSE STATE LICENSE IN001�'&r/hbClass ADDRESS CONTRACTOR'S E-MAIL ADDRESS (�� ✓� ctwJc V Cuf Cir CITY I I STATE ZIP ONE NO. G cL N(Q5ct 2- USE ONLY PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ DRAINAGE P/C FEE $ 010 -ars Forms\Pool spa appl(rev3-04).xls YL5Q,-64^ce c my uo,75 U`{'f"tv ILx/vf— W-C, fi13. ) 5-0-5 F F-30 0 (