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HomeMy WebLinkAboutX2019-0709 - Permit ApplicationPnftim Worksheet for Building Combo Permit Application F- Comm'I Q Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL c pa r 7,Building rGradin g j—Drainage F-Elec F_Mech F -Plum Cu YdCut r CuYdFill Project Address (Not mailing address); Floor Suite No 240Marsala Or (Building 49: 240-255) F— Description of Work Use Re -coat private decks /stair landings and like-for-like'replacement of damaged wood framing # StoriesF2 # Units (if Res) 16 mempers.woere occurs ur ngeK` trii"sit wor Valuation $ [52,000.00New/Add Material/LaboOWNER'S SF Remodel SFFGarage/New/Add NAME LastFriedman First Phillip Owner's Address Owners E-mail Address 5500 Newport Center Drive pfriedman@irvinecompany.com City Newport Beach State CA Zip 92660 Telephone 949-720-5468 APPLICANT'S NAME LastMatsushita First Tak I 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/OESIGNER'SNAME Last^ First� Lic. No. F_ , Architect/DesignersAddress Architect/Designers E-mail Address city State F__-, Zip F— TelephoneF_ ENGINEER'SNAME Last Christian First Dale Llc.No:5E270$ Engineer's Address. Engineer's E-mail Address 1744 West Katella Ave 107 dale@dalechristien.com City il 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 Zip F— TelepilnneF ENERGY P/C FEE $ FIRE P/C FEE$ PERMIT NO. I •. Q�Q GRADING P/C FEE $ ,._ -, PLANNING P/C FEE $ PLAN CHECK NO..: ELECIPLUM/MECH P/C FEE $ _.. PLAN CHECK FEE $ DEVELOPMENT # TOTAL FEES PAID $—�—