HomeMy WebLinkAboutX2019-0666 - Permit Application` PnntForm ,, Worksheet for Building Combo Permit Application
F Comm'I 5Z Residential City of Newport Beach - Building Division
NOTE' PLAN CHPCK PPP III W AT TlhAl= nD el IDRAITTnI
FBuilding r Grading
f—Drainage F—Elec FMech ( Plum Cu Yd CutF Cu Yd Fill
Project Address (Not mailing address)
Floor Suite No
2612 San Marco (Building 10: 2612-2627) F_
Description of Work
Use
FRecoat private decks / stair landings and 'like for -like' replacement of damaged wood framing
# Storiesr2 # Units (if Res) 16
rs w ere occurs during deckrinish, worx
Valuation $
52,000.00 '
New/Add S F
Remodel SF'..�— Garage/New/Add �� .Material/Labor
OWNER'S NAME
Last Friedman Flrsf Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive pfriedman@irvinecompany.com
City Newport Beach
State CA Zip92660 Taiopho ���
ne 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 Zip 92867 Telephone 714 997-1145
ARCHITECT/DESIGNER'S NAME--"'
Last— First_ Lic. No.':��
Architect/Designer's Address
Architect/Designer's E-mail Address
City
.State Z1P7 Telephone_
ENGINEER'SNAME
Last Christian FirstDale Lic. No! SE2705
Engineer's Address
Engineer's E-mail Address
1744 West Katella Ave 107
dale@dalechristian.com
City Orange
State CA Zip 92867 Telephone714-997-1145
CONTRACTOR'S NAMEXOMPANY Lit. No, F— Class f —,
Contractor's Address
Contractor's E-mail Address
City-�.,..._.
State zip F— Telephone—
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO, �r nine /I
GRADING P/C FEE $
�1`,
PLANNING P/C FEE $ PLAN CHECK Rol ,
ELEC/PLUWMECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $