HomeMy WebLinkAboutS2022-0242 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
8 JETTY DRIVE, CORONA DEL MAR, CA 92625
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK INSTALLATION OF 7' X 14' MANUFACTURED SWIM SPA. CONSTRUCTION OF AN IN -GROUND ENGINEERED CONCRETE
VAULT. THREE (3) NEW ELECTRICAL CIRCUITS. INSTALL SUMP PUMP ESTIMATED $ VALUATION $50,000
SWIMMING POOL ® SPA ❑ POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Annlicant
3. OWNER'S NAME LAST FIRST
THOMAS STEPHEN
ADDRESS
OWNER'S E-MAIL ADDRESS
8 JETTY DRIVE
cdmst53@icloud.com
CITY STATE ZIP
PHONE NO.
CORONA DEL MAR CALIFORNIA 92625
949-887-0983
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
SPECTRUM ENGINEERING HUSZCZ MJ
S 3555
ADDRESS
ENGINEER'S E-MAIL ADDRESS
8 CORNWALIS
m h.ses j @gmail.com
CITY STATE ZIP
PHONE NO.
IRVINE CALIFORNIA 92620
(949) 551-3316
5. CONTRACTOR'S NAME
BUSINESS LICENSE
R. W. DOEZIE CONSTRUCTION, INC
TS-TATELICEENSE
PENDING
O 838021 Class B
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
2738 E. Hillside Ave
rdoezie@gmail.com
CITY STATE ZIP
PHONE NO.
ORANGE CALIFORNIA 92867
714-686-7514
'E USE ONLY
PERMIT NO.
PLAN CHECK NO.
OL PIC FEE $
1GE P/C FEE $
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