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HomeMy WebLinkAboutS2022-0040 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH BUILDING DIVISION 1_7 PLEASE PRINT OR TYPE 1. PROJECT ADDRESS (NOT MAILING ADDRESS) 1220 W BAY, NEWPORT BEACH, CA LEGAL DESCRIPTION APN 047-232-09 LOT 9 BLOCK TRACT 2. DESCRIPTION OF SWIMMING POOL Pq CONSTRUCT ROOFTOP POOL (PREFAB STAINLESS STEEL) 240SF ESTIMATED $ VALUATION 16,920 SPA ❑ POOL FENCING ❑ Check Appropriate box for Applicant DRAINAGE ❑ ❑ 3. OWNER'S NAME LAST FIRST SABO ELIAS ADDRESS OWNER'S E-MAIL ADDRESS 1740 E OCEANFRONT SABOFAMILY@gmall.com CITY STATE ZIP PHONE NO. NEWPORT BEACH 92661 CA 4. ENGINEER'S NAME LAST FIRST LICENSE NO. BRADFORD PRODUCTS ADDRESS ENGINEER'S E-MAIL ADDRESS 2101 ENTERPRISE DRIVE CITY STATE ZIP PHONE NO. LELAND NC 28451 800 438 1669 ❑x 5. CONTRACTOR'S NAME BUSINESS LICENSE STATE LICENSE FLUID DYNAMICS POOL & SPA INC BT30055899 C53 809954 Class No. ADDRESS CONTRACTOR'S E-MAIL ADDRESS 620 E WALNUT, #B sarahjblatario@gmail.com CITY STATE ZIP PHONE NO. FULLERTON CA 92831 949 408 8676 OFFICE USE ONLY PERMIT NO. PLAN CHECK NO. POOL PIC FEE $ � 2 C�C) C� DRAINAGE PIC FEE $ Forms\Pool spa appl (mv3-04).xls 'C�?701 —7 J 0 Z50