HomeMy WebLinkAboutS2021-0200 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
^` CITY OF NEWPORT BEACH (2-0
BUILDING DIVISION
PLEASE PRINT OR TYPE
PROJECT ADDRESS (NOT MAILING ADDRESS)
4261 Uptown Newport Drive
LCU/-iL Ur-oUNIF' I IUN APN 445-131-02 & 03
LOT 1, Parcel BLOCK TRACT 17438
2. DESCRIPTION OF WORK New Pool and Spa
ESTIMATED $ VALUATION 90,300,00
511 1`I
SWIMMING POOL ❑X SPA ® POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
3. OWNER'S NAME LAST FIRST
Newport Development Company, LLC
ADDRESS
OWNER'S E-MAIL ADDRESS
2 Park Plaza, Suite 700
CITY STATE ZIP
PHONE NO.
Irvine CA 92614
949-417-1396
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Canfield Jeff
C63595
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1050 Campanile
jeff@jeffcanfield.com
CITY STATE ZIP
PHONE NO.
Newport Beach CA 92660
949-383-8275
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
AQUATIC TECHNOLOGIES
BT97021623
No.744177 Class05
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
32232 PASEO ADELANTO, STE A
miranda@aquatictechnologies.com
CITY STATE ZIP
PHONE NO,
SAN JUAN CAPISTRANO CA 92675
949-493-9548
OFFICE USE ONLY
PERMIT NO. 5' us-t- om
PLAN CHECK NO. qA 0 1' �'6 2 It
POOL P/C FEE $ VLF.
DRAINAGE P/C FEE $
Fonns\Pool spa appl (rev3-04).xis