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HomeMy WebLinkAboutX2019-0694 - Permit ApplicationPntForm_.: Worksheet for Building Combo Permit Application r Comm'I Q Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL n VBuilding F_ Grading F -Drainage F_Elec j—Mech rPlum cuvdCut F cuvdFul Project Address (Not mailing address) Floor Suite No 1424 Posada (Building 34:1424-1435) I Description of Work Use .... _. _.. Re -coat private decks / stair landings and 'l ike-for-like' replacement of damaged wood framing Imembers # Storiesl2 # Units (if Res) 10 wriere occurs curing nrs.. wor '. ' .,pc Valuation $ New/Add SFF Remodel SF j Garage/New/Add s.� 52,000,00 Material/Labor OWNER'S NAME Last I Frledman First Phillip Owner's Address Owner's E-mail Address 5500 Newport Center Drive ptriedman@irvinecompany.com Y City Newport Beach State GA,, Zip 92660 Telephone 9b9 720 5468 APPLICANT'S NAME Last Matsushita ... FirstTak .. Applicant's Address Applicant's E-mail Address 1744 West Katella Ave 107 tmatsushita@dalechristian.com City Orange State i ZIP 92867 Telephone 714-997-1145 ARCHITECT/DESIGNER'S NAME Last First F_Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City F — State F_: Zip [� Telephonel� ENGINEER'S NAME Last Christian First Dale _.. Lic. Nbl 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'SNAME/COMPANY Lic. No,,,F Class Contractor's Address • Contractor's E-mail Address city ! State F Zips . Telephoner ENERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO. t . - o w qql GRADING P/C FEE $ PLANNING. P/C FEE $ PLAN CHECK ELEC/PLUM/MECH P/C FEE $ PLAN CHECK FEE $ DEVELOPMENT# TOTAL FEES PAID $