HomeMy WebLinkAboutX2019-0664 - Permit ApplicationWorksheet for BuildingCombo Permit Application
F- Comm'I R Ci of Newport Residential P Beach - Buildin g Division pp
'
NOTE: PLAN CHECK FFF 1`11 IF AT TIME nc SI IMRAITTAI
DZBuilding F-GradingF-Drainage F_Elec FMech FPlum Cu Ydcutr cuvdFill
Project Address (Not mailing address)
Floor Suite No
2628 San Marco (Building 8: 2628-2638)
Description of Work
User
Ae-coat private decks / stair landings and like for-hke'replacement of damaged wood framing
# Stories # Units (if Res) 10
mem, ers w 'ere occurs ur nge - n s wor
Valuation $ 52,000.00
pgriaiy{abor��
New/Add SFr_ Remodel SF��
Garage/New/Add F_
OWNER'SNAME Last Friedman
First Phillip
Owner's Address
Owners E-mail Address -
5500 Newport Center Drive
pfriedman@irvinecompany.com
City Newport Beach State CA Zip f92660 Talephpne 949-720-5468
APPLICANT'S NAME Last Matsushita
First Tak
Applicant's Address
Applicants E-mail Address
1744 West Katella Ave 107
klt9afsuthiteCdeftchristlan.com
City Orange State CA
ZiP 92867 Telephone714-997-1145
ARCHITECT/DESIGNER'S NAMEFirst—�
Last �----- Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
city State
Zip � R Telephone_`-
'' ENGINEER'S NAME Last Christian
First Dale Lic No, SE2705
1. Engineer's Address
Engineer's E-mail Address
1744 West Katella Ave 107
dale@dalechristian.com
City Orange State
Zip ;2867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY -
Lic. NoT Class
Contractor's Address
Contractor's E-mail Address
city (�- ���� State
Zip �— Telephoner
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO; Ot ,
GRADING P/C FEE $ - PLANNING PIC FEE $
PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN. CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $