HomeMy WebLinkAboutS2020-0110 - Permit ApplicationSZOZ0- 0�m
wrw n'a.
E " WORKSHEET FOR POOL COMB
CIN OF NEW
BUILDING
PLEASE PRINT CF9 TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1200 WINSLOW LANE ,
LEGAL DESCRIPTION
LOT BLOCK
2. DESCRIPTION OF WORK NEW SWIMMING
PERMIT APPLICATION( r
..EAC--�.Q,l
1,328
ESTIMATED $ VALUATION
SWIMMING POOL DO SPA X POOL FENCING ❑
Check Appropriate box for Applicant
DRAINAGE ❑
3. OWNER'S NAME LAST FIRST
SHEA HOMES
ADDRESS
OWNER'S E-MAIL ADDRESS
2 ADA STREET, STE. 200
CITY STATE ZIP
PHONE NO.
I RVI N E CA 92660
949-562-8800
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
BIEDENBACH CHRISTOPHER
74003
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. TUSTIN AVE.
CITY STATE ZIP
PHONE NO.
ANAHEIM CA 92807
1714-630-6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
AQUATIC TECHNOLOGIES
BT97021623
No.744177CIaSSC5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
32232 PASEO ADELANTO, STE A
lisa@aquatictechnologies.com
CITY STATE ZIP
PHONE NO.
SAN JUAN CAPISTRANO CA 92675 1
949-493-9548
OFFICE USE ONLY
PERMIT NO. &2020,
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls