HomeMy WebLinkAboutX2019-0701 - Permit ApplicationPnntFArrrKl ; Worksheet for Building Combo Permit Application
F– Comm'I PZ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL �a
XBuilding Grading rDrainage rElec ( Mech Plum cu yd Cut F ca yd Fill
III
Project Address (Not mailing, address) Floor suite No
1128 Corella (Building 41: 1128-1138) r _
Description of Work
Use
Re -coat private decks/ stair landings and 'likefor-likereplacement ofdamaged wood framing
# StoriesF2 # Units (if Res)F
remoeFS W are pccurs r g,,4 Etkffrll5 f�work.
fValuation
S
New/Add SFS— .Remodel SF� Garage/New/Add �
523000.00
Mateiial/Labor
OWNER'S NAME Last Friedman 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. Last Matsushita First ITak
Applicant's Address Applicant's E-mail Address
11 1744 West Katella Ave 107 tmatsushita@dalechristian.com
City Orange — State Gita Zip 92867 Telephone 1 1714-997-1145
ARCHITECT/DESIGNER'S NAME Last First
_.. s��.. Llc. No, sem'
Architect/Designees Address Architect/Designer's E-mail Address
City F State F_ Zip � Telephone[—
ENGINEER'S NAME Last Phrisfian First Dale Lc. 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 Lic. No—, Class.
Contractor's Address Contractor's E-mail Address
City F_— State F � Zip,— Telephone—
ENERGY PIC FEE $ FIRE P/C FEE $ PERMIT NO.. –)-a
-. GRADING PIC FEE $ .PLANNING PIC FEE $ PLAN CHECK NO,.
ELECIPLUMIMECH PIC FEE $ PLAN CHECK FEE $
DEVELOPMENT # TOTAL FEES PAID $