HomeMy WebLinkAboutX2019-0675 - Permit ApplicationFf�aorm,3n,° Worksheet for Building Combo Permit Application N
F- Comm'I DZ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
F13uilding F_ Grading F -Drainage rElec rMech j!Plum Cu ydCut F Cu Yd Fill
project Address (Not mailing address) Floor suite No
2316 Naples (Building 19: 2316-2331) F_
Description of Work
Use
Re -coat private decks / stair landings and 'I ke-for-like' replacement of damaged wood framing
# StoriesF2 #Units (if Res) 12
mem ers where occurst(uring c7ecgr1Wis, wot ,
Valuation $ -
-Material/Labor
New/Add SF F_ Remodel SF:1 Garage/New/Add F
OWNER'S NAME Last Friedman First: Phillip
Owner's Address Owner's E-mail Address
5500 Newport Center Drive pfriedman@irvinecompany.com
City Newport Beach State CA Zip 92660 Telephone g4g-720-5468
APPLICANT'SNAMELast Matsushita First Tak
Applicant's Address Applicant's E-mail Address
1744 West Katella Ave 107 tmatsushita@dalechrisban.COm
City Orange State CA Zip 92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designers Address - Architect/Designer's E-mail Address
City .State �— Zip Telephone--
ENGINEER'S NAME Last Christian First Dale Lic. No:5E2705 '.
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'S NAME/COMPANY - _ Lic. No. I Class
Contractor's Address Contractor's E-mail Address
City I— - State F Zip F Telephone —
..ENERGY PIC FEE $ FIRE P/C FEE $ PERMIT NO.
GRADING P/C FEE $ PLANNING. P/C FEE $ .PLAN CHECK NO.
ELEC/PLUMIMECH P/C FEE $ PLAN CHECK FEE $
DEVELOPMENT# - TOTAL FEES PAID $