HomeMy WebLinkAboutX2019-0705 - Permit ApplicationMEET] Worksheet for Building Combo Permit Application
F— Comm'I Q Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL +
FBuilding F_Grading rDramage F_Elec FMech F- Plum Cu Yd cul Cu Yd Fill v
Project Address (Not mailing address)
1140 Corella (Building 45: 1140-1151)
Floor Suite No
F
Desceiplion of Work
Use
- -
-
Re -coat private decks /stair landings and'hke for-like'replacement of damaged wood framing
# Stories #Units (if Res) 10
mem bersw ere occurs during F�kiirit5n work. -
- -- -
Valuation $ ((
Material/lahorl 52,000.00
New/Add SFr Remodel SFF-
Garage/New/Add ��
OWNER'S NAME Last]Friedman. First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
pfriedman@irvinecompany.coIm
Cdy Newport Beach -�- State CA.. Zip 92660 Telephone 949-720 5468��
APPLICANT'S NAME Last Matsushita
v First Tak
Applicant's Address
Applicant's E-mail Address
1744 West Katella Ave 107
tmatsushita@dalechristian.com
_^
City Orange State CA
Zip 92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last^ First! Lic. No.�
Architect/Designer's Address
Architect/Designer's E-mail Address
City State ��
Zip,', TelephoneF
ENGINEER'S NAME. Last Christian
�..... First Dale Lic. Noi.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
Contractors E-mail Address
City I - State F_
Zip Telephone
ENERGY PIC FEE $ FIRE PIC FEE $
PERMIT NO,
GRADING PIC FEE $ '..PLANNING PIC FEE $
PLAN CHECK NO.: ,
ELEC/PLUMIMECH PIC FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $