HomeMy WebLinkAboutS2021-0037 - Permit ApplicationF""' `""r WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
" ,_ ,r CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1220 W BAY, NEWPORT BEACH, CA 92661
LOT 7'8,9
BLOCK 3
TRACT 626
2. DESCRIPTION OF WORK CONSTRUCT POOL AND BASIN (FROM WATER WALL) IN STRUCTURAL MAT SLAB
POOL 723 sf BASIN 43 sf ESTIMATED $ VALUATION $54,003.00
SWIMMING POOL EN
SPA ❑ POOL FENCING ❑
Check Appropriate box for Applicant
DRAINAGE ❑
3. OWNER'S NAME LAST FIRST
SABO ELIAS & CAROLINE
ADDRESS
OWNER'S E-MAIL ADDRESS
1220 W BAY
-6•
CITY STATE ZIP
PHONE NO.
NEWPORT BEACH CA 92661
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
PARKER RESNICK COX STEVEN
48940
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1927 PONTIUS
steve_cox@parkerresnick.com
CITY STATEPH
ZIP
ONE NO.
LOS ANGELES CA 90026
310 478 8372
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
FLUID DYNAMICS POOL & SPA, INC.
BT30055899
809954
N0. Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
620 E WALNUT, SUITE B
sarah@fdpool.com
CITY STATE ZIP
PHONE NO.
FULLERTON CA 92831
714 319 2917
:E USE ONLY
PERMIT NO.
Ono
PLAN CHECK NO.
-6•
POOL P/C FEE $
DRAINAGE P/C FEE $ *� MEO
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