HomeMy WebLinkAboutS2021-0154 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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1 _ PROJECT ADDRESS (NOT MAILING ADDRESS)
1507 Santanella Terrace
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 250 Sq ft With gas to fire pit
ESTIMATED $ VALUATION 40000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
Check Awrouriate box for Aoolicant
3. OWNER'S NAME
LAST
FIRST
Mabry
ADDRESSOWNER'S
E-MAIL ADDRESS
1507 Santanella Terrace
CITY
STATE
ZIP
PHONE NO.
Corona Del Mar
Ca
92625
714.855.6408
❑ 4. ENGINEER'S NAME
LAST
FIRST
LICENSE NO.
Lacher
Todd
67656
ADDRESS
ENGINEER'S E-MAIL ADDRESS
1201 N. Tustin Ave
CITY
STATE
ZIP
NO.
Anaheim
Ca
92807]PHONE
714.630.6100
® 5. CONTRACTOR'S NAME
BUSINESS LICENSE
STATE LICENSE
Infinity Pool & Spa
INO-891370 Class C
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
28295 Camino Estribo
CITY
STATE
ZIP
PHONE NO.
Temecula
Ca
92590
'14.262.9164
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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