HomeMy WebLinkAboutX2019-0710 - Permit ApplicationP `orm Worksheet for Building Combo Permit Application M
F_ Comm'I l? Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
RBullding F- Grading rDrainage F_Elec rMech F- Plum CuvdcutF cuvdFill
Project Address (Not mailing address)
Floor suite No
308 Monte Carlo (Building 50: 308-323)
F (—
t
Description of Work
Use
Re -coat private decks/ stair landings and like -for -like replacement of damaged wood framing
# RodesF2 # Units (if Res) 16 -.
members.wriere occurs ur ng qaaTIn7$ji wor ,
New/AddSF� RemodelSF�-
Garage/New/Add
Valuation $
52,000 00
Material/Labor[ ',..
OWNER'S NAME .Last Friedman
First Phillip
Owner's Address
Owner's E-mail Address
5500 NewportCenter Drive
pfnedman@irvinecompany.com
City IN Beach State CA Zip F92660 Telephone 949-720-5468
APPLICANT'S NAME Last Matsushita
First Tak
Applicant's Address __.
Applicant's E-mail Address
11 744 West Katella Ave 107
tmatsushita@dalechristian.com
City Orange State CA
Zip F928V Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME Last First Lic. No.�
Architect/Designer'sAddress
Architect/Designer'sE-mail Address
Ci State
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
dale@dalechristian.com
City Orange State CA
Zip 92867 Telephone 714-997-1145
CONTRACTOR'S NAME/COMPANY I
Lic. No, F_ Class
Contractor's Address
Contractor's E-mail Address
city State F—
Zip F_ Teleplionsl
ENERGY P/C FEE $. FIRE P/C FEE $
PERMIT NO_, 1. 1
GRADING P/C FEE $ ,PLANNING P/C FEE $
PLAN CHECK NO,
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $.
DEVELOPMENT #
TOTAL FEES PAID $