HomeMy WebLinkAboutX2019-0714 - Permit ApplicationPnittiFotro Worksheet for Building Combo Permit Application
F- Comm'I (Z Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
GZBuildina4
g ( Grading F Drainage F—Elec F--Mech f -'plum Project Address (Not mailing address)
ceydcut c�vdwl
128 Laurent (Building 54: 128-135) �Floor Suite No
beftelo 6n of Work i
rswr
I
private decks /stair landings and 'like-forlikereplacement of Use
ee occurs curing framing
wpr
#Storiesf2 # Units (if Res)r 8
New/AddSF�—-—'. Remodel SF—^^-' Valuation$
Garage/New/Add„�„ F52,000�.Oo
MaYeriaILLaboc
OWNER'S NAME. -
Last lFriedman First ''Phillip -
Owner's Address
5500 Newport Center Drive Owner's E-mail Address
pmedman @irvinecompany.com
City Nev�ort -----
ewport Beach State CA
Zip 92660 Telephone 949 720 5468
APPLICANT'S NAME -
11744 West Katella Ave 107
City Orange- State CA
ARCHITECT/DESIGNER'S NAME
First lTak
Applicants E-mail Address
tFmatsushita@dalechristian.com
Zip
)7-1145
Last First i'
Architect/Designer's Address- _ Lic. No. F '
_ - - _ ArchitectlDesigner'sE-mail Address � ”
City r
State F� Zip r, Telephonar_�
LELEC/PLUMIMECH
EER'S NAME :.Last Christian
--�— First Dale
Lic No, SE2705
er's Address --
Engineer's E-mail Address
est Katella Ave 107
dale@dale chnstian.com
range State CAZip 92867 Telephone 714-997-1145
RACTOR'S NAME/COMPANYLic. No. � ClassF
tor's AddressContractor's E-mail Address- StateZAP �. Telephoner P/C FEE $ FIRE P/C FEE $ P/C FEE $ PERMIT NO, IPLANNING P/C FEE $ PLAN CHECK NO.UM/MECH P/C FEE$ "`MENT #— Pi -AN CHECK FEE $
-- TOTAL FEES PAID $