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HomeMy WebLinkAboutS2020-0143 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH % r'1 ls� BUILDING DIVISION PLEASE PRINT OR TYPE 1. PROJECT ADDRESS (NOT MAILING ADDRESS) 1801 SABRINA TERRACE, NEWPORT BEACH 92625 LEGAL DESCRIPTION LOT 111 BLOCK TRACT 2813 2. DESCRIPTION OF WORK CAISSON SUPPORTED POOL/SPA. APPROX. 647 SQ. FT. �tm)\nalS mlu ESTIMATED $ VALUATION 1 DD DD -T SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE ❑ CheCK AP oprla[e oox ivr rkpplwan 3. OWNER'S NAME LAST ARONOFF FIRST BARRY OWNER'S E-MAIL ADDRESS ADDRESS 1801 GALATEA TERRACE ZIP PHONE NO. CITY STATE NEWPORT BEACH CA 92625 949.547.1366 4. ENGINEER'S NAME LAST FIRST LICENSE NO. PMA ENGINEERING PETROV PLAMEN SE-66947 ENGINEER'S E-MAIL ADDRESS ADDRESS P.PETROV@PMA-BG.COM 28161 CASITAS CT. CITY STATE ZIP PHONE NO. LAGUNA NIGUEL CA 92677 714.717.7542 5. CONTRACTOR'S NAME BUSINESS LICENSE STATE LICENSE DEVORE POOLS & SPAS BT97026761 No.401549 classC-53 CONTRACTOR'S E-MAIL ADDRESS ADDRESS PO BOX 828 DEVOREPOOLSPA COX.NET CITY STATE ZIP PHONE NO. SAN JUAN CAPISTRANO CA 92693 949.547.1366 :E USE ONLY PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ DRAINAGE P/C FEE $ 1y1 loozow Forms\Pool spa appl (rev3-04).xls