HomeMy WebLinkAboutX2019-0692 - Permit Application3prdortrr Worksheet for Building Combo Permit Application
[- Comm'[ F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
VBuilding [-Grading [—Drainage r'Elec [-Mech [-Plum CuvdcutF— CuvdFiuF_
PE*§pct Address (Not mailing address) Floor cit. nim
11500 Valencia (Building 32.1500-1510) F_ I
Description of Work
-
_ Use
Re -coat private decks /stair landings and like -for -like' replacement of damaged wood framing
imembers where occurstruring CacKtintshworK #Stories # Units (if Res) f 8
New/Add SF�—
52,000.00
Remodel SF�— Garage/New/Add �-Valuation $ � Material/Labor
OWNER'S NAME
Last Friedman First Phillip
Owner's Address
Owner's E-mail Address -
5500 Newport Center Drivepfriedman@irvinecompany.com
City Newport Beach
State CA Zip 92660 Telephone 949-720-5468
APPLICANT'S NAME
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 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last �— First Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
- city 1
State F77 Zips[- Telephone—'
ENGINEER'S NAME
Last Christian First Dale Lic. No.SE2705
Engineer's Address
Engineer's E-mail Address
1744 West Katells Ave 107
dale@dalechristian.com
City Orange
-- State CA Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY I Lic. No. Class_
Contractor's Address
Contractor's E-mail Address
City^—
State F— Zip ... TelephoneF_
ENERGY PIC FEE$ FIRE P/C FEE $ PERMIT NO, /� Zai
GRADING PIC FEE $ PLANNING P/C FEE $ PLAN CHECK NO.
ELEC/PLUMlMECH PIC FEE $ , PLAN CHECK FEE $
DEVELOPMENT # TOTAL FEES PAID $