HomeMy WebLinkAboutX2019-0706 - Permit Application?nnCl Crrfr r Worksheet for Building Combo Permit Application
r Comm'I [Z Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL G..
RBuildmg _ r Grading rDrainage F- rMech r Plum cuvdcutF CuvdFill F
Project Address (Not mailing address)
Floor Suite No
200 Marsala Or (Building 46: 200-215)
Description of Work
Use .�-
Re coat private decks/stair landings and 'Ilke-for-like' replacement of damaged wood framing
Stories[ # Units (if Res) 12
m
meers ®reoccurs urging s<: n,Ish worK
Valuation $ (I52,000.00
Material/Labor
New/Add SFF Remodel SF1
Garage/New/Add
OWNER'SNAME 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 92660 Telephone949-720-5468
APPLICANT'S NAME Last Patsushita
First'Tak
Applicant's Address
._.Applicant's E-mail Address
1744 West Katella Ave 107
tmatsushita@dalechristian.com
City Orange State CA
Zip 92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last-
Firstj Lic No. �-
Architect/Designer's Address.
Architect/Designer's E-mail Address
City State F_
Zip I Telepho"F v.
ENGINEER'S NAME Last Christian
FirstDale Lic. No SE2705
Engineer's Address
Engineers 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. F_ Class
Contractor's Address
Contractors E-mail Address
City I State F
Zip F— TelephoneF_
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO. _. ZD �i• o-� u Lo
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK No,
ELEC/PLUM/MECH P/C FEE $
_ PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $