HomeMy WebLinkAboutX2019-0711 - Permit Application�r pont Forfn ', Worksheet for Building Combo Permit Application
F- Comm'[ Q Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL e
QBuilding F Grading F -Drainage rElec rMech F- Plum cuvdCut F Cu YdFill F
Project Address (Not mailing address)
Floor Suite No
3 11 2 11 4 Monte Carlo (Building 51: 324339)
�— F
Descriptlan of Work
Use
Re -coat private decks/ stair landings and like-for-like'replacementofdamaged
wood framing
# StorlesF2 #Units (if Res) 12
mem ers where occurs unng qecKirinish wor,
Valuation $ 52,000.00
Material/Labor
New/Add SFJ, Remodel SFf
Garage/New/Add f
OWNER'S NAME Last Friedman
First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
pfriedman@irvinecompany.com
City Newport Beach State CA Zip F92660 Telephone949-720 5468
APPLICANTS NAME---�
Last Matsushita � First Tak
Applicant's Address
Applicant's E-mail Address
1744 West Katella Ave 107
tmatsushita@dalechristian.com
City Orange State CA
Zip92867 _ Telephone714-997-1145
ARCHITECT/DESIGNER'S NAME Last
First �. Lic.No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City �— State F—
-Zip F— Telephortzi
ENGINEER'SNAME Last Christian
First ':Dale Lic. No. SE2705
Engineer's Address
Engineer'sE-mailAddress
4744 West Katella Ave 107
dale@dalechristian.com
City Orange State CA
Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY °
Lic. No, F— Class
Contractor's Address
Contractor's E-mail Address
City �— State F_
ZipF_— Telephone—
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT N0. F7 1 l
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO,.
ELEC/PLUMIMECH P/C FEE $
PLAN CHECK FEE $ Cy
:DEVELOPMENT #
TOTAL FEES PAID $