HomeMy WebLinkAboutS2020-0125 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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CITY OF NEWPORT BEACH Vo,20 ~01;25
nk, BUILDING DIVISION
(NOT MAILING ADDRESS)
212 Driftwood
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 361 sq ft
ESTIMATED $ VALUATION 35,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Applicant
E] 3. OWNER'S NAME LAST FIRST
Dootson Chris
ADDRESS
OWNER'S E-MAIL ADDRESS
212 Driftwood
CITY STATE ZIP
PHONE NO.
Corona Del Mar Ca 92625
949.665.0289
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Lacher Todd
67656
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N Tustin Ave
CITY STATE ZIP
PHONE NO.
Anaheim Ca 92807
1714.630.6100
CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Promontory Pools
iNo.404194 classC53
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
17401 Irvine Blvd #B
CITY STATE ZIP
PHONE NO.
Tustin Ca 92780
714.508.0557
:E USE ONLY
PERMIT NO. 32z 2-o-' Dl��
PLAN CHECK NO. , �i7`� ?jLP)j_C)
POOL P/C FEE $ 57- � �
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls