HomeMy WebLinkAboutX2019-0662 - Permit ApplicationPrint'Forrti ;. Worksheet for Building Combo Permit Application
F_ Cemm'I jX Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
DZSuilding Grading r -Drainage rElec rMech
F— Plum Cu Yd Cut— Cu Yd Fill I
1728 Amalfi (Building 6: 2728-2738)
Floor Suite No
Use
Re -coat private decks/ stair landings and 'like -for -like' replacement of damaged wood framing
Itnem ersw ere occurs ur ng ee m s wor , # Stones # Units (if Res) 10
New/Add SF Remodel SF�— Valuation $ 52,000.00
Garage/New/Adder Materlal/Labor0�.
OWNER'SNA, ME .Last Friedman
First. Phillip
Owner's Address Owner's E-mail Address
130uu NewportCenter Drive Ipfriedman@irvinecompany.com
city Newport ate CA;
�^Beach StZip 92660 Telephone 949-720-5468
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APPLICANT'S NAME Last Matsushita
w_.... 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
Architect/Designer's Address _
City -_.State
First Lic. No
Architect/Designer's E-mail Address
Zip �^ Telephone-
............ .
ENGINEER'S NAME Last Christian First Dale
Lic. No; SE2705
" Engineer's Address Engineer's E-mail Address
1744 West Katella Ave 107 hale@dalechristian.com
City Orange State CA Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY Lic No. F— ClassF
Contractor's Address Contractor's E-mail Address
City F_� State F_ ZIP TeteptioheF-7^®
ENERGY PIC FEE $ FIRE P/C FEE $ PERMIT NO,X�11-GtQ777
GRADING P/C FEE $ PLANNING PIC FEE $ PLAN CHECK NO,
ELEC/PLUM/MECH P/C FEE $ PLAN CHECK FEE $ ���--
DEVELOPMENT # TOTAL FEES PAID $ --