HomeMy WebLinkAboutX2019-0653 - Permit ApplicationF_ Comm'I R Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SURMITTAI e..._.. a•
QBuilding r—GradingF—Drainage
rElec F_Mach Plum Cu yd cut Cu Yd Fill
Project Address (Not mailing address) Floor Suite No
2200 Brindisi (Building 2: 2200-2212)pn'�)
Description of Work
UseO ,%) 6
1 !�-
Re -coat private decks /stair landings and like for -like replacement of damaged wood framing
# Storie nits (if Res) 12
mem ,er5 where occurs during,sieck n wq . -- -
Valu L41
.Material/Labo152,000.00
New/Add SF�
Remodel SFGarage/New/Add �
OWNER'S NAME
Last jFriedman First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive pfriedman@irvinecompany.com
CityNewport Beach
State CA Zip 92660 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@dalechristan.com
City Orange
State CA Zip F92867 Telephone 714-997-1145
ARCHITECTlDESIGNER'S NAME Last First
ArchitectIDesigner's Address
ArchitectlDesigner's E-mail. Address
Y _
city �i
State r Zip TelephoneF
ENGINEER'S NAME
Last Christian '.� First Pale Llc. No SE2705 '..
Engineer's Address
:Engineer's E-mail Address
1744 West Katella Ave 107
dale@dalechristian.com
City Orange
State c Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY
l�vci'iT�1.%`- . Lic. No-��� le
Contractor's Address
Contractor's E-mail Address
city ----__—
State �� Zip F_Telephoner
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO, %pl�l •QI,Q'S3
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK NO. e��-FSS •'L@ I �(
IELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $
(SZ,aDo plke- rK)CU)1