HomeMy WebLinkAboutX2019-0659 - Permit ApplicationPhot �vrm
7 Comm'I OZ Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FFF DI IF AT TIRAP nF ci Ii n.
1.....—...
(?Building F_ Grading F -Drainage I—Elec F-MachrPlum Cu Ydcutl Cu YdFill F
Project Address `(Not mailing address)
Floor Suite No
3216 Brindisi (Building 3: 2216-2231)
1
Description of Work
�.
Use
.
PRe-coatprivatedecks/stairlandingsand
likeforlike replacement of damaged wood framing
# Storiesr2 # Units (if Resf 12
mem ers w tere occurs, ur ng., ec''flms ;work.
- --
r
Valuation $ 52,000.00MateviaitLatrgrl
New/Add SFF_ Remodel SF ��
Garage/New/Add �—
OWNER'S NAME Last Friedman
First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
pfriedman@irvinecompany.com
City lNewport Beach StateCA Zip 92660 Telephone 949-720-5468
APPLICANT'S NAME .Last IMatsushita First Tak
Applicants 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,.F� '.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �— _ State ��
Zip ,..�� Telephonef _ _..
ENGINEER'S NAME Last Christian
First Dale 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 NAME/COMPANY
Lic No, Class
Contractor's Address
Contractor's E-mail Address
City State I
Zip— Telephone[+
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO,
GRADING P/C FEE $ .. PLANNING P/C FEE $
PLAN CHECK NO,
ELEC/PLUM/MECH P/C FEES
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $