HomeMy WebLinkAboutX2021-0037 - Permit Application (3)WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
(4)
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1220 W BAY, NEWPORT BEACH, CA 92661
I LOT 7'8'9 BLOCK 3 r 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 M SPA ❑ POOL FENCING ❑ DRAINAGE ❑
Check Appropriate box for Applicant
❑ 3. OWNER'S NAME LAST FIRST
SABO ELIAS & CAROLINE
ADDRESS
OWNER'S E-MAIL ADDRESS
1220 W BAY
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 STATE ZIP
PHONE Np.
LOS ANGELES CA 90026
310 478 8372
5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
FLUID DYNAMICS POOL & SPA, INC.
BT30055899
809954
No ClassC53
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
OFFICE USE ONLY X)w001,1
PERMIT NO. • -`
PLAN CHECK NO.
POOL P/C FEE $ 1
DRAINAGE P/C FEE $ I•0
Forms\Pool spa appl (rev3-04).xls