HomeMy WebLinkAboutS2021-0271 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITYCH
BUILDING DIVISION SZOZI' VZ�'
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
1300 Dover Dr
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and
SWIMMING POOL ® SPA EZ
Check Appropriate box for Applicant
504 sq ft w/gas and electric to BBQ and Fire Pit
ESTIMATED $ VALUATION 48,000
POOL FENCING ❑ DRAINAGE
❑ 3. OWNER'S NAME LAST FIRST
Pardini Eamonn
ADDRESS
OWNER'S E-MAIL ADDRESS
1300 Dover Dr
CITY STATE ZIP
PHONE NO.
Newport Beach Ca 92660
949.467.4655
4. ENGINEER'S NAME LAST FIRST
LICENSE NO.
Thompson Matt
86051
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
Orange County Pools and Spas
No. 423815 Class
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
17762 Leafwood Ln
CITY STATE ZIP
PHONE NO.
Santa Ana Ca 92705 1714.332.4600
:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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