HomeMy WebLinkAboutS2024-0088 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
r LMAOM rKIN I UK 1 Tr=
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
919 BAYSIDE DR
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK RE -PLASTER POOL NEW TILE AND MARKERS
ESTIMATED $ VALUATION 17,000
SWIMMING POOL ❑ SPA ❑ POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
3. OWNER'S NAME
LAST
FIRST
HPI 919 BAYSIDE PROJECT
ADDRESS
OWNER'S E-MAIL ADDRESS
919 BAYSIDE DR
PRIYESH@HANKEYCAPITAL.COM
CITY
STATE
ZIP
PHONE NO.
NEWPORT BEACH
CA
92660
4, U U&11 c n lz �
LAST
FIRST
LICENSE NO.
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ADDRESS
ENGINEER'S E-MAIL ADDRESS
25� LONG UK"
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Leo e t,g0,6si Glu � Lc,M
CITY
STATE
ZIP
PHONE NO.
ON6 Wfr&H
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31a rq ,
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
No. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
CITY
STATE
ZIP
PHONE NO.
Z USE
NLY
PERMITONO. L( Z'd D 0q
/ v
PLAN CHECK NO. c `^ q — to ° _J
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls