HomeMy WebLinkAboutX2019-0672 - Permit ApplicationpnntF orm ,I Worksheet for Building Combo Permit Application
F_ Comm'I GZ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
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FBuilding F_Grading [—Drainage F-Elec (_Mech F -Plum Cu yd Car cuydFlllr�
Project Address (Not mailing adOre") Floor Suite No
2416 Naples (Building 16: 2416-31) F'
Description of Work
Use
_...
Re -coat private decks/stair landings and like-for-IIke' replacement of damaged wood framing
# StorlesF # Units (if Res) 12
mem ersw ere occurs €Tu€Ingec 'moi' liwork.
Valuation$ F521000106
Material/Labo
New/Add SFrRemodelSF1Garage/New/Add�
OWNER'S NAME Last Friedman First Phillip
Owner's Address Owners E-mail Address
5500 Newport Center Drive pfriedman@irvinecompany.com
City Newport Beach State CA Zip 92660 T>elepjtane 949-720-5468
APPLICANT'S NAME Last Matsushita First Tak
Applicant's Address Applicant's E-mail Address
1744 West Katella Ave 107 tmatsushita@dalechristian.com
City Change State CA Zip f92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City F — State I —. Zip I Telephoned^
ENGINEER'S NAME Last Christian 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 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY Lic. No. Class
Contractors Address Contractor's E-mail Address
City �. State Zip F— Telephone—
ENERGY. P/C FEE $ FIRE P/C FEE $ PERMIT NO, ZO .�Cp'j
GRADING PIC FEE $ PLANNING PIC FEE $ PLAN CHECK NQ.
''. ELEC/PLUM/MECH PIC FEE $ ,,..PLAN CHECK FEE $
DEVELOPMENT # TOTAL FEES PAID $
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