HomeMy WebLinkAboutS2022-0209 - Permit Application4N"""°kr WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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I 1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1107 Dolphin Terrace, Corona Del Mar, CA 92625
LOT 9
2. DESCRIPTION OF WORK Re -plaster pool & spa "only, new pool equipment.
ESTIMATED $ VALUATION 56,218.00
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE ❑
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3. OWNER'S NAME LASTFIR
Istwan, Bob
ADDRESS
OWNER'S E-MAIL ADDRESS
1107 Dolphin Terrace, Corona Del Mar, CA 92625 1(562)
243-3570
CITY STATE
ZIP PHONE NO.
❑ 4. ENGINEER'S NAME LAST
FIRST
LICENSE NO.
N/A
ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY STATE
ZIP PHONE NO.
5. CONTRACTOR'S NAME
BUSINESS LICENSE STATE LICENSE
IHP Enterprises
BT30071421 No. #1032378class C5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
5069 Arroyo Lindo Ave, San Diego, CA
Admin@gsenviroscapes.com
CITY STATE
ZIP NO.
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IHONE
949) 795-4884
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