HomeMy WebLinkAboutS2020-0101 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH 520,20 . D 101
PLEASE PRINT OR TYPE BUILDING DIVISION
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2340 Aralia St, Newport Beach, CA 92660
LEGAL DESCRIPTION
LOT BLOCK
TRACT
2. DESCRIPTION OF WORKFiberglass Pool Installation
ESTIMATED $ VALUATION 35,9()0
SWIMMING POOL 0 SPA ❑ POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
3. OWNER'S NAME LAST FIRST
Levine EAndrew & Jordana
ADDRESS OWNER'S E-MAIL ADDRESS
2340 Aralia Street jordana.g.levine@gmail.com
CITY STATE ZIP PHONE NO.
Newport Beach
92660 (917)673-6791
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Poindexter Donald C24420
10140 Starr Road
CITY STATE ZIP PHONE NO.
Windsor CA
95492 707-495-0420
5. CONTRACTOR'S NAME BUSINESS LICENSE STATE LICENSE
V.I.P. Construction
ADDRESS No 664861 Class C53
CONTRACTOR'S E-MAIL ADDRESS
22365 E1 Toro Rd., #201
vipcoinc@gmail.com
CITY STATE ZIP PHONE NO.
CA Lake Forest
92630 949-444-2286
OFF/CE USE
NL
Y
PERMIT NO.
PLAN HECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa app] (rev3-04).xls