HomeMy WebLinkAboutS2020-0125 - Permit Application (2)PLEASE PRINT
212 Driftwood
LEGAL DESCRIPTION
LOT
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH SR020 01; 5
BUILDING DIVISION
(NOT MAILING ADDRESS)
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
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
0 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
714.630.6100
hs TOR'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 1714.508.0557
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $%
DRAINAGE P/C FEE $
FormslPooi spa apps (rev3-04).xis