HomeMy WebLinkAboutX2019-0698 - Permit ApplicationWorksheet for Building Combo Permit Application
F Comml R Residential Cityof Newport Beach - Building Division
NOTE; PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
Ig f Gr�adinF_Drajnage Elec f Mech
5?Building F Grading F -Drainage Elec F Mech plum Cu Yd cut Cu Yd Fill
5 Il ot mailing
a r
.Pro Oct Address (Not mailina addraca%
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(Not dd
1200 Alicante (Building 38: 1200-1207) Floor Suite No
WorkDescription of F -
Re -coat private decks /stair landings and'ilke-for-likereplacement ofUse
me rsw late'. tours Wing a nis, war, amaged wood framing
IF Storiesr2 # Units (if Res)[8
New/Add SFF— Remodel SFF— Garage/New/Addvaluation $ 52,000 �00
OWNER'S NAME Material/Labor F
Last Friedman, First lPhillip
Owner's Address
5500 Newport Cents Drive Owner's E-mail Address
Ptiedman@irvinecompany.com
City Newport �Beach State FCA
APPLICANT'S NAME Zip 92660— Telephone 9-720-5468
Last Matsushita
First
Applicant's Address Tak
Applicant's E-mail Address
rl 744 West�107
Katella Ave ����, .......
C ty tml lllila@dalec�hrlstlan.com���
I fr;ng,
State �Zip 192867
Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME I -r
Architect/Designer's AddressTI 5i
Lic. No.
Architect(Designer's E-mail Address
city state
FP F, Telephoner
ENGINEER'S NAME ._.
Last Christian
Engineer's Address First Dale Lic, No, SE2705
1 1744 West K atella Ave 107
Engineer's E-mail Address
rdale@dalechristan com
City [Orange7`—` State r�
ICA ZIP [9�2867 Telephone' -
1714 -997-1145
CONTRACTOR'S NAME/COMPANY
Lic. No.
Contractor's Address F� classF
Contractor's E-mail Address
City--- State
ENERGY P/C FEE $ F� ZjPf� TelephoneF
FIRE P/C FEE $
GRADING P/C FEE$ C--------- PERMIT No,
I --- PLANNING P/C FEE$ PLANCHECKNO. 11
2:±1
ELEC/Pl_UM/MECH_P�E,E $-) ------
DEVELOPMENT # PLAN CHECK FEE $
TOTAL ES PAID $