HomeMy WebLinkAboutS2022-0219 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
' O
CITY OF NEWPORT BEACH
PLEASE PRINT OR
BUILDING DIVISION
1. PROJECT ADDRESS (NOT HALING ADDRESS)
433 Seaward Rd. Corona Del Mar, CA 92625
LEGAL DESCRIPTION
LOT 6 BLOCK LOT 6 TRACT N-TR 1237
2. DESCRIPTION OF WORK New pool construction based on design layout
$80 000
SWIMMING POOL ® SPA ❑
Check Appropriate box for Ap licant
ESTIMATED $ VALUATION '
POOL FENCING ❑ DRAINAGE
❑ 3. OWNER'S NAME LAST FIRSi
Valeur Amanda
ADDRESS
OWNER'S E-MAIL ADDRESS
433 Seawrd Rd.
CITY STATE ZIP
PHONE NO.
Corona Del Mar CA 92625
323-219-1648
❑ 4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Pool Engineering Inc. Thompson Matthew
86051
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave.
mattt@pooleng.com
CITY STATE ZIP
PHONE NO.
Anaheim CA 92807
714-630-6100
❑ 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
One Pro Landscape
C27
No. 1047816 Clas5C53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
6689 EI Cajon Dr.
edgarxmejia20@icioud.com
CITY STATE ZIP
PHONE NO.
Riverside CA 92504
714-805-1638
OFFICE USE ONLY /
PERMIT NO. �SJgoll no,�� A ��}�Z —2�0 Z
PLAN CHECK NO. 1' �/� � "�
POOL PIC FEE $ 1
DRAINAGE PIC FEE $
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