HomeMy WebLinkAboutX2019-0695 - Permit ApplicationPrlt1€ttnt * Worksheet for Building Combo Permit Application p, d
r Comm'I R Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
6ZBuilding r— Grading rDramage j—Elec FMech rPlum Cu Yd Cut Cu YdFIII€
Project Address (Nat mailing addressr
Floor Suite No
1412 Posada (Building 35: 1412-1423)
(_
Description of Work
Use
Re -coat private decks / stair landings and like for like replacement of damaged wood framing
# Storiesf2 # Units (if Res) 10
mem,'ers w ere ocwr,5 ur ng ciewlntfsfi iorTt.
Valuation $
Material/LandrF52,000.00
New/Add SF1 Remodel SFJ
Garage/New/Add' _
OWNER'SNAME Last Friedman First Phillip
Owner's Address _
Owner's E-mail Address
5500 Newport Center Drivepfriedmrmr@irvinecompany.com
City Newport Beach StateCA Zip 92660 Telephone 949-720 5468
APPLICANT'SNAME Last Matsushita
FirstTak
Applicant's Address
Applicant's E-mail Address
1744 West Katella Ave 107
tmatsushita@dalechristian.com
City Orange State P"
Zip 92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last
,First Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
.
City State F,
...
Zip [—Telephonel�~'.
ENGINEER'S NAME Last Christian V First FDale Lic. Noi 5E2705 —
.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 NAMEXOMPANY
- Lic. No �— Class
Contractor's Address
Contractcr's E-mail Address
City,F .State F
Zip F—Telephonel
ENERGY P/C FEE $ -FIRE P/C FEE $
PERMIT NO. 2fi(
GRADING PIC FEE $ PLANNING P/C FEE $
PLAN CHECK NO.
ELECIPLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $