HomeMy WebLinkAboutS2022-0039 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
f: CITY OF NEWPORT BEACH 00 3IA
BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
2001 Seadrift Dr
LEGAL DESCRIPTION
LOT BLOCK TRACT
2. DESCRIPTION OF WORK Pool and Spa 355 sq ft with gas stub for firepit
ESTIMATED $ VALUATION 40,000
SWIMMING POOL ® SPA ® POOL FENCING ❑ DRAINAGE
Check Appropriate box for Applicant
3. OWNER'S NAME LAST FIRST
Maya (MG Builders)
ADDRESS
OWNER'S E-MAIL ADDRESS
2001 Seadrift Dr
CITY STATE ZIP
PHONE NO.
Corona Del Mar Ca 92625
661.941.8182
❑ 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
iNo.440333
Swan Pools
ClassC5
ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
24512 Bridger Rd
CITY STATE ZIP
PHONE NO.
Lake Forest Ca 92630
1949.859.8466
:E USE ONLY
PERMIT NO. Z t7� CAM Z 1✓
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PLAN CHECK NO.
IOU,,
POOL P/C FEE $ I15�5 ` 2 �
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).)ds