HomeMy WebLinkAboutS2022-0244 - Permit Application' WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2007 SEADRIFT DRIVE, CORONA DEL MAR, CA 92625
LEGAL DESCRIPTION
LOT 14 BLOCK 94 TRACT 2813
2. DESCRIPTION OF WORK ' REMODEL EXIST POOUSPA 390SF TO SMALLER POOL/SPA 220 SF, NEW 2" PE GAS TO EX EQUIP
NEW V ELEC TO EX SUBPANEL @ EQUIP, MODIFY EX DRAINAGE (STD PLAN) ESTIMATED $ VALUATION 50,000
SWIMMING POOL X❑ SPA X❑ POOL FENCING ❑ DRAINAGE
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3.
OWNER'S NAME
LAST
FIRST
HENNING
-,TA kg I
` ~t
ADDRESS
OWNER'S E-MAIL ADDRESS
2007 SEADRIFT DR
CITY
STATE
ZIP
PHONE NO.
CORONA DEL MAR
CA
92625
4.
ENGINEER'S NAME
LAST
FIRST
LICENSE NO.
POOL ENGINEERING
THOMPSON
MATTHEW
86051
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N TUSTIN AVE,
matt@pooleng.com
CITY
STATE
ZIP
PHONE NO.
ANAHEIM
CA
92807
714 630 6114
® 5.
CONTRACTOR'S NAME APPLICANT:
SARAH BLATARIC
BUSINESS LICENSE
STATE LICENSE
FLUID DYNAMICS POOL/SPA, INC
PENTON, DAVE
BT30055899
C53
No 809954 Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
720 E WALNUT, SUITE B
sarahjblataric@gmail.com
CITY
STATE
ZIP
NO.
FULLERTON
CA
92831
FPHONE
49 408 8676
ICE USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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