HomeMy WebLinkAboutX2019-0669 - Permit Applicationfi Worksheet for Building Combo Permit Application a
(— Comm'l DZ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SLIRMITTAI ,
RBuilding rGradin Ig F—Drainage FElec j—Mech Plum Cavdcutf cuvdFill
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Profect Address (Not mailing i address)
12 100 Bastia (Building 13: 2100-2115)
Floor Suite No
Description of Work
Use
Re -coat private decks /stair landings and 'like for like replacement of damaged wood framing
# StoriesP # Units (if Res) 12
Imem , rS where occursur ng g j—njs oi't
Valuation S 52,000.00
Material/Labor
III
New/Add SF T Remodel SF
Garage/New/Add �_
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 f92660 Telephone 949-720-5468
APPLICANT'SNAME Last Matsushita
First Tak
Applicants Address
Applicant's E-mail Address
1744 West Katella Ave 107
#matsuSfiita@dalechtYstian,com
City Orange State CA
Zip 92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last— First Lic. No.,��
Architect/Designer's Address
ArchitectIDesigner s E-mail Address
City � � State ��.
Zip.,�� Telephone[
ENGINEER'S NAME Last Christian
First Dale Llc.NO$ SE2705
Engineer's Address
Engineer's E-mail Address
1744 West Katella Ave 107
dale@dalechristian.com
City Orange State �—
Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY
_ Lic No, I ClassF—
Contractor's Address
Contractor's E-mail Address
City State ��
Zip Telepho e=—
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT N ,
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $