HomeMy WebLinkAboutX2019-0665 - Permit Application7 Comm'I R Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
RBuilding r—Grading [—Drainage rElec FMech j -plum Cu Yd cucF— Cu Yd Fill
Project Address (Not mailing address)
2600 San Marco (Building 9: 2600-2610)
Floor suite No
F_
Description of Work
Use
!, =coat private decks/ stair landings and 'I Ike -for-] Ike' replacement of damaged wood framing
# Stories[ 2 # Units (if Res) 10
mem ers.W ere occurs unng a Ins wo
Valuation$ 52,000.00
Material/LaboP
New/Add SF� Remodel SF�—
Garage/New/Adder
OWNER'S NAME Last Friedman Firs[ Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
pfriedman@irvinecompany.com
City Newport Beach State CA, Zip 92660 Telephone 949-720-5468
APPLICANT'S NAME Last Matsushita
FirstTak
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 LastF First Lic. No.
Architect/Designer's Address
ArchitecVDesigner's E-mail Address
cityState F_
Zipr�r 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. �� Class
Contractor's Address
Contractor's E-mail Address
City �� _��_^ State �—
Zip �— TelephQnel�
ENERGY P/C FEE $ FIRE P/C FEE$
PERMIT NO,IQ•,D�,Q,(QS•
GRADING P/C FEE $ - PLANNING PIC FEE $
PLAN CHECK NO.
ELEC/PLUM/MECH PIC FEE $
PLAN CHECK FEE $
.DEVELOPMENT #
TOTAL FEES PAID $