HomeMy WebLinkAboutX2019-0690 - Permit Application0�, ;` Worksheet for Building Combo Permit Application
r- comm'I Dz Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
FBuilding r-Grading(Drainage
rElec (-Mach f-PlumCu yd Cet� cu Yd Fill
Project Address(Not mailing address); Floor Suite No
1524 Valencia (Building 30: 15241535) �T
Description of Work
Use
Re -coat private decks/ stair landings and'Ilkefor-like' replacement of damaged wood framing
#Stories #Units (if Res)[ 70
mem rs where occurs dunng,_ee ini5F�e wor ,
Valuations
52,000.00
Material/Labor
New/Add SF—
�
Remodel SF� Garage/New/Add �
OWNER'SNAME
Last Friedman First.Phillip
Owner's Address
Owner's E-mail Address -
5500 Newport Center Drive pfnedman@irvinecompany.com
City Newport Beach
�— state CA Zip f92660 Telephone 949-720-5468
APPLICANT'S NAME
Last Matsushita First Tak
Applicant's Address
Applicant's E-mail Address
1744 West Katella Ave 107
tmatsuslli11a@4plichristian. com
City Orange —
State CA Zip 92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last-^- First Lic. Na,
Architect/Designer's Address
Architect/Designer's E-mail Address
City F
—.State �� Zip' — Telephone
ENGINEER'S. NAME
_ Last Christian First Dale Lic. No SE2705 '..
Engineer's Address
Engineer's E-mail Address ;
1744 West Katella Ave 107
dale@dalechdstian.com
City Orange
State CA Zip 92867 Telephone714-997-1145
CONTRACTOR'S NAME/COMPANY
Lic. No.� Class
Contractor's Address
Contractor's E-mail. Address
City
State F Zip, 'Telephone—
ENERGY PIC FEE $
FIRE P/C FEE $ PERMIT NO -1) ICI 0 Laq ®
GRADING P/C FEE $
_. PLANNING P/C FEE $ PLAN: CHECK NO.
ELEC/PLUM/MECH PIC FEE $
PLAN CHECK FEE $
DEVELOPMENT#
TOTAL FEES PAID $