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HomeMy WebLinkAboutX2019-0713 - Permit Applicationfir'"FQrm Worksheet for Building Combo Permit Applicatio 7 COMM'l 5,' Residential City of Newport Beach - Building Division � w NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL GZBuilding j Gradtng r'Drainage rElec r'MechPlum - �-. Cu Yd Cuts Cu Yd Fill Project Address (Not mailing address} 136 Laurent (Building 53: 136-147) Floor Suite No Descrij7t4©p of Work Re-coat private decks/stair landings Use e woi and'like- for-like'replacementofdamaged wood framing s mem rs eroccurs urng er+ n I #Stories #Units (if Res) 10 New/Add SFf Remodel SF— Valuation 5 Garage/New/Adds 52 000 00 Material/Labor ' OWNER'S NAME -- Last Friedman First Phillip Owner's Address Owner's E-mail Address 5500 Newport Center Drive pfrieciman @irvin eco mpany. com City Newport Beach State CA Zip92660 Telephone 949-720-5468 APPLICANT'S NAME Last Matsushita First ITak APPlicant's Address .- -- --- 1744 West Katella Ave 107 Applicants E-mail Address ItmatsUshfta@dalechristian.com city Orange state CA Zip 92867 Telephone 714-997-1145 ARCHITECT/DESIGNER'S NAME - LastFirst.° Architect/Designer's Address Lic. No. Architect/Designer's E-mail Address CTy State F_ ZIP s�.R Telephones�. ENGINEER'S NAME Last Christian Engineer's Address First Dale Lic. No, SE2705 's 7 744 West Katella Ave 107 EngineerE-mail Address dale@da lechristian, co m city Orange State CA Zip 92867 Telephone 714 997-1145 CONTRACTOR'S NAME/COMPANY Lic. No, F- Class Contractor's Address j Contractor's E-mail Address I City— ---^ State f� Zip Tetep(ion8F�... ENERGY P/C FEE $ FIRE P/C FEE $ GRADING P/C FEE $ PERMIT NQ _ ?--p I - PLANNING P/C FEE $ .PLAN CHECK NO ELEC/PLUM/MECH P/C FEE $ --- DEVELOPMENT #_ PLAN CHECK FEE $ TOTAL FEES PAID $