HomeMy WebLinkAboutX2019-0700 - Permit ApplicationF§mkEorNr Worksheet for Building Combo Permit Application
r Comm'[ 5Z Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL CS,
FBuilding F -Grading F -Drainage [-Elec FMech F -Plum cuydcutF Cu Yd Fill
Project Address (Not mailing address)
Floor Suite No
1112 Corella (Building 40: 1112-1127)
F
Description of Work
Use F
Re -coat private decks / stair landings and'like-for-like' replacement of damaged wood framing
#Stories[ # Units (if Resf 12
mem etsw ere occurs urng.e ris work,_;.
�
Valuation'
New/Add SFF Remodel SFf
Garage/New/Add �^
Material/Lahorl 5200F}00
OWNER'SNAME Last Friedman
- First Phillip
Owner's Address
Owner's 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 Talk
Applicant's Address
Applicant'sE-mailAddress
1744 West Katella Ave 107
tmatsushita@dalechristian.com
092867
City Orange State CA
Zip Telephone 714-997-1145
ARCHITECT/DESIGNER'S NAME LastFirst
�— F--� Lic. No.
ArchitecttDesigner'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
Ci Orange State CA
tY 9 F
Zi 92867 Telephone 714-997-1145
p p F
CONTRACTOR'S NAME/COMPANY I
Lic No,.I — Class
Contractor's Address
Contractor's E-mail Address.
City- State F
Zip'.. ..Telephone—
ENERGY P/C FEE $ .FIRE P/C FEE $
PERMIT NO.'�`q •.("n (�__._
GRADING P/C FEE $ , PLANNING P/C FEE $
PLAN CHECK NO...
ELEC/PLUM/MECH P/C FEE $ <.
PLAN CHECK FEE $
DEVELOPMENT # -
TOTAL FEES PAID $