HomeMy WebLinkAboutX2019-0715 - Permit Applicationph�lt�prm Worksheet for Building Combo Permit ApplicaY —_
F Comm'I R Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL ,..�
RBuilding rGrading r'Drainage FElec FMach F– plum
Cu Yd Cut Cu Yd Pili l
Project Address (Not mailing address) I t
120 Laurent (Building 55: 720-127) Floor Suite No
Description of Work
Re coat private decks /stair landings and like-for-like replacement of damaged wood framing Use
mem ers kY ere occurs . u ng:.. eC mts wor - -.
# Stories #Units (if Res)r 8
New/Add SFF � Remodel SFF � evaluation 5
Garage/New/Add 'Material/LaborF52,000.00
OWNER'SNAME Last Friedman--
First ..Phillip
Owner's Address Owner's E-mail Address" "
5500 Newport Center Drive friedman p y,
p r✓Dirvinecom an com
City Newport Beach State CA.
Zip f92660 Telbphone 949-720-5468
APPLICANT'S NAME Last iM`at�s`ush`ita�
�`W � First. Tak
Applicant'sAddress "- - – -
Applicants E-mail Address
1744 West Katella Ave 107 tmaisushit *dalechrisfian.com
City Orange State CAZip 92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME
Last —! FirstF ^
LIc.No.-��
Architect/Designer's Address _ Architect/Designer's E-mail Address
City��^� —� State �_ Zip Telephoner
ENGINEER'S NAME Last lChristlian_
First Dale Lic. Nod SE2705
Engineer's Address Engineer's E-mail Address
1744 West Katella Ave 107 dale@dalechristian.com
City Orange —���� State CA Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY
Lic. No,,��.. Class
Contractor's Address_ Contractor's E-mail Address
TelephoneF �
ENERGY P/C FEE $ FIRE P/C FEE
GRADING PIC FEE $
$ PERMIT NO,
..PLANNING P/C FEE $ PLAN CHECK N0,
ELEC/PLUM/MECH P/C FEE $
DEVELOPMENTPLAN CHECK FEE $
'# - .
TOTAL FEES PAID $