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HomeMy WebLinkAboutX2019-0673 - Permit Applicationx�iq)arr„ Worksheet for Building Combo Permit Application r Comm'I DZ Residential City of Newport Beach -Building Division NOTE: PLAN CHECK FEE DUE AT TIMF OF RI IRMITTAI e. 6CBuilding (- Grading F -Drainage (-Elec F_Mech F- Plum Cu Yd Cut Cu Yd Fill l ProjectAddress (Not mailing address) Floor suite No 2400 Naples (Building 17: 2400-2415) I Description of Work .. :Use Re -coat private decks/ stair landings land 'Ilke-for-like' replacement of damaged wood framing # Stories 2 # Units (if Res) 12 mem ers w ere occurs,cipring beckfinish work, Valuation $ 52,000.00 Material/Labor New/Add SF�- Remodel SFr_ Garage/New/Add I- OWNER'SNAME Last Friedman First Phillip Owner's Address Owner's E-mail Address 5500 Newport Center Drive piriedman@irvinecompany.com _...... . City Newport BeachState CA Zip 92660 Telephone 949-720 5468 APPLICANT'S NAME Last JIMatsushita First Tak Applicant's Address Applicants E-mail Address 1744 West Katella Ave 107 tmatsushita@dalechristian.com City Orange State CAZip 92867 Telephone 714 997-1145 ARCHITECUDESIGNER'S NAME Last— First Lic. No. Architect/Designees Address Architect/Designer's E-mail Address ., .:.. ... _.. City �n-- State F zip'l TelephoneF ENGINEER'S NAME Last Christian First Dale Lic. No EE2705 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-i 145 CONTRACTOR'S NAME/COMPANY _ Lic No.� Class Contractor's Address Contractor's E-mail Address City �— State ZipT Telephone ENERGY PIC FEE $ FIRE P/C FEE $ PERMIT NO. GRADING PIC FEE $ . PLANNING P/C FEE $ PLAN CHECK NO:. -ELEC/PLUM/MECH PIC FEE $ ... PLAN CHECK FEE $ DEVELOPMENT# TOTAL FEES PAID $