HomeMy WebLinkAboutX2019-0702 - Permit ApplicationkPrmYFbrm _ Worksheet for Building Combo Permit Application
F_ Comm'I Residential City of Newport Beach - Building Division
NOTE. PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
QBuilding F- Grading rDrainage F_Elec FMech rPlum CuYdcut[ cuvdFill
�
Project Address (Not mailing address)
Floor suite No
1176 Corolla (Building 42: 1176-1186)
Description of Work
Use
,..
Re -coat private decks/stair landings and 'I ike-for-like' replacement
of damaged wood framing
# Stories # Units (if Res) 8
memberswriere occurs,duringtdeeckfurissh worV
New/Add SF�^ Remodel SF�—
Garage/New/Add �-
Valuation $ 52,000.00
h�atetlailtabor'
OWNER'S NAME Last Friedman
First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
pfriedman@irvinecompany.com
City NewportBeach State CA Zip 92660 Telephone 949 720-5468
APPLICANT'S NAME—�
Last Matsushita
FirstTak
Applicant's Address
Applicant's E-mail Address
111,744 West Katella Ave 107
m�tsUshi(3(rrt�(eGltris4ian.com
City Orange T State CA
Zip 92867 Telephone714-997-1145
ARCHITECT/DESIGNER'S NAME Last_ First F_ LIC. No,
Architect/Designer's Address
ArchitectlDesigners E-mail Address
City �_�-- State F
Zip Telephoned
ENGINEER'S NAME Last Christian
First Pale Lic. No:FSE2705
- Engineer's Address
Engineer's E-mail Address
1744 West Katella Ave 107
dale@dalechristian.com
City Orange State CA
Zip 92867 Telephone 714-997-1145
CONTRACTOR'SNAMEICOMPANY
-, Lic.No.�— Class
Contractor's Address
Contractor's E-mail Address
city �— State—
Zip �— Telephoned
ENERGY PIC FEE $ FIRE P/C FEE $
PERMIT NO,
GRADING P/C FEE $ - PLANNING PIC FEE $
PLAN CHECK NO.
-ELEC/PLUM/MECH PIC FEE $
::PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $