HomeMy WebLinkAboutX2020-1562 - Permit Application (2)Cf TF.\YP Jk m x
WORKSHEET FOR POOL COMBINATION PERMIT 4��I�ATION
CITY OF NEWPORT BEACH
BUILDING DIVISION " �y
PLEASE PRINT OR TYPE s
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1520 E. OCEANFRONT, NEWPORT BEACH 92661,�� ®®�f
LEGAL DESCRIPTION
LOT 6 BLOCK TRACT 518
2. DESCRIPTION OF WORK SHOTCRETE SPA 48 SQ. FT
ESTIMATED $ VALUATION 50.000
SWIMMING POOL ❑ SPA ® POOL FENCING ❑
Check Appropriate box for Applicant
DRAINAGE ❑
E] 3. OWNER'S NAME LAST FIRST
PEDICINI JOHN
ADDRESS
OWNER'S E-MAIL ADDRESS
1526 E. OCEANFRONT
CITY STATE ZIP
PHONE NO.
PORT BEACH CA 92661
949.493.4374
4. GINEER'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
No.401549 ClassC-53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
PO BOX 828
DEVOREPOOLS COX.NET
CITY STATE ZIP
NO,
]PHONE
SAN JUAN CAPISTRANO CA 92693
949-493-4374
(OFFICE USE ONLY
PERMIT NO.
Z�)Z0 -vc
PLAN CHECK NO. V L 1 L��Cm) �✓�
POOL P/C FEE $ f' J
DRAINAGE P/C FEE $ l l 0 L V
Forms\Pool spa appl (rev3-04).xls