HomeMy WebLinkAboutX2019-0660 - Permit ApplicationF�trltl Qrm Worksheet for Building Combo Permit Application
(— Comm'I DZ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
RBuilding F- Grading F -Drainage F-Elec FMech r Plum cuydcutf cuvdFul F
Project Address (Not mailing address)
Floor
2232Brindisi (Building 4: 2232-2242)
Suite No
r`
J
Descripfion of Work
_ _
Use
Re -coat private decks / stair landings and 'Iike for -like' replacement
of damaged wood framing
# Stories # Units (if Res)r8
mem, ersw ere occurs unng deqRtmish work.
_.
Valuation $ 52,000,00
New/Add SF — Remodel SF
Garage/New/Add F ';Material/Labor
OWNER'; NAME Last Friedman
First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
ptiedman@irvinecompany.com
City Newport Beach State CA. Zip r92660 Telephone 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 prange state GA
Zip 92867 Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME First
Last ��-- Lic. No.
Architect/Designers Address
Architect/Designers E-mail Address
'. City _. State F_
Zip. TelephoneF—
ENGINEER'S NAME Last Christian
First Dale Lic. Nol SE2705
Engineer's Address
Engineer's E-mail Address
1744 West Katella Ave 107
Idale@dalechristian.com
City Orange State CA
Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY
Lic. No. F— Class
Contractor's Address
Contractor's E-mail Address
City. State t_
Zip F— Tete0hone�
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
:GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO,..
t ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
(DEVELOPMENT #
TOTAL FEES PAID $