HomeMy WebLinkAboutS2019-0164 - Permit Application(9)
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
n� CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (No ILING ADDRESS)
1807 GALATEA TERRACE, NEWPORT BEACH 92625
LEGAL DESCRIPTION
LOT 144
TRACT 2813
2. D CRIPTION OF WORK CAr5S'ON SUPPORTED POOL/SPA. POOL APPR(
P GNQ. FT.; LOWER WATERFEATURE 163 SQ. FTESTIMATED $ VALUATION
NTIR,YWATERFEATURE 34 SQ. FT.
SWIMMING POOL ® SPA ® POOL FENCING ❑
Check Appropriate box for Applicant
203 $Q. FT.;
'�JOI OOD
DRAINAGE ❑
3. OWNER'S NAME LAST FIRST
ZAHEDI
ADDRESS
OWNER'S E-MAIL ADDRESS
1807 GALATEA TERRACE
CITY STATE ZIP
PHONE NO.
NEWPORT BEACH CA 92625
949.493.4374
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
FMH ENGINEERING HAKIM FADY
SE-5629
ADDRESS
ENGINEER'S E-MAIL ADDRESS
410 GODDARD, STE: 200
FADYHAIM@FMHENGINEERING.COINI
CITY STATE ZIP
PHONE NO.
IRVINE CA 92618
1 949.245.8000
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
DEVORE POOLS & SPAS
BT97026761
No.401549 ClasLq-5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
PO BOX 828
DEVOREPOOLSPA COX.NET
CITY STATE ZIP
PHONE NO.
SAN JUAN CAPISTRANO CA 92693
949-493-4374
:E USE ONLY
PERMIT NO. ��
PLAN CHECK NO. 2-6 (poi °°°
s
POOL P/C FEE $
&AINAGE P/C FEE $ �v �� G �i� C, �G 20 ,
FormslPool spa appl (rev3-04).xls W