HomeMy WebLinkAboutX2019-0704 - Permit ApplicationPkl'Stfiifm • _ Worksheet for Building Combo Permit Application
F- Comm'I DZ Residential City of Newport Beach - Building Division m
NOTE, PI AN CHECK FPF Ill IF AT TineG nc ci IMUITTAr
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QBuilding F_Grading F -Drainage r'Elec F_Mech F- Plum Cu yd cut[ Cu Yd HIII
Project Address (Not mailing address)
Floor
1152 Corolla (Building 44.1152-1162)
Suite No
I
Description of Work
_
Use
Re -coat private decks / stair landings and'like for -like' replacement
of damaged wood framing
# Stories # Units (if Res)r
mertt efs w ere occurs ! ng, ,QC ni
New/Add SFT Remodel SFF—
Garage/New/Add—
Valuation$
Material/Labor 52,000.00
OWNER'S NAME Last Friedman
First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
1pfriedman@irvinecompany.com
City Newport Beach State CA Zip F92660 Telephone 949-720-5468
APPLICANT'S NAME Last Patsushita
First Tak
Applicants 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
r^--,.. Lic. No. �—
First
- ArchitectlDesigner's Address
Architect/Designer's E-mail Address
City f State
Zip [— Telephoned—
ENGINEER'S NAME Last Christian
FirstDale Lic, IN SE2705
_
Engineer's Address _
Engineer's E-mail Address
1744 West Katella Ave 107
dale@dalechristian.com
City Orange State CA
Zip 92867 Telephone714-997-1145
CONTRACTOR'S NAME/COMPANY
Lic No, F— Class
Contractor's Address
Contractor's E-mail Address
City State F_
Zip f - Telephoned
ENERGY PIC FEE $ FIRE P/C FEE $
PERMIT NO. Zo l 9 • C)-) 0
GRADING PIC FEE $ PLANNING P/C FEE $
PLAN CHECK NO.
ELEC/PLUMIMECH PIC FEE $
..PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $