HomeMy WebLinkAboutX2019-0684 - Permit Application.tnlf_F, Worksheet for Building Combo Permit Application
F- Comm1 R Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
FBuilding F_ Grading F–Drainage rElec rMech F- plum Cu ydcutr Cu Yd Fill
Project Address (Not mailing address) Floor suite No
1552 Valencia (Building 28: 1552-1562) F
Description of Work
-.
Use
Re -coat private decks/ stair landings and like-for-like'replacementofdamaged wood framing
'# StoriesF2 # Units (if Res)
members w occurs urrng hmsTS,WJYoY' tT–
.ere _*a
New/Add SFJ Remodel SFF— Garage/New/AddF—
Valuation 5
Material/Labor S2,000,00
OWNER'SNAME Last Friedman First,Phillip
Owner's Address Owner's E-mail Address
5500 Newport Center Drive pfnedman@irvinecompany.com
City Newport Beach T State CA Zip 92660 Telephone 949-720-5468
APPLICANT'S NAME Last Matsushita FirstTak
Applicants Address Applicant's E-mail Address
1744 West Katella Ave 107 tmatsushita@daIechristian.com
11 11
City Orange u` 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 I Zip,— Telephone
ENGINEER'S NAME Last Christian r First Dale LIc. No. SE2705
Engineer's Address - Engineer's E-mail Address
1744 West Katella Ave 107 dale@dalechristian.com
City Orange State CA Zip F2B67 Telephone 1714-997-1145
CONTRACTOR'S NAME/COMPANY Lic. No. F__Class
'. Contractor's Address Contractor's E-mail Address
City ��... _.... State F— Zip Telephone—
ENERGY P/C FEE $ FIRE P/C FEE $ _ PERMIT NO. Cii Q to �...
'GRADING P/C FEE$ PLANNING P/C FEES PLAN CHECK NO,
ELEC/PLUM/MECH PIC FEE $ _. PLAN CHECK FEE $
('DEVELOPMENT # TOTAL FEES PAID $