HomeMy WebLinkAboutX2019-0703 - Permit ApplicationWorksheet for Building Combo Permit Application
F_ Comml 5? Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
QBuilding r—Grading F -Drainage rElec F_Mech F— Plum Cu YdCot7 cuvdFill
Project Address (Not mailing address};
Floor suite No
1164 Corella (Building 41: 1164-1174)
1
Description of Work
Use
Re -coat private decks / stair landings and like -for like' replacement
of damaged wood framing
# Stories # Units (if Res)r 8
rT1en1Qer5wnerecoCUf3 during daorinwom,
Valuation 5
52,000.00
Material/Labor
.�
New/Add SF F_ Remodel SF
Garage/New/Add �—
OWNER'S NAME Last Friedman ,._. First_Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
_
pfriedman@irvinecompany.com
rp
_
City Newport Beach State CA Zip92660 Telephone 949-720-5468
APPLICANT'SNAME 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.[— Telephone
ENGINEER'SNAME Last Christian
First Dale Lic.No.ISE2705
Engineer's Address
Engineer's E-mail Address
1744 West Katella Ave 107
dale@dalechristian.com
City Orange y— 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_
Zip F__TelephoneF_
ENERGY PIC FEE $ FIRE P/C FEE $
PERMIT NO. (Oi . 01 '01
GRADING PIC FEES - PLANNING PIC FEE $
PLAN CHECK NO
ELECIPLUM/MECH PIC FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $