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HomeMy WebLinkAboutX2019-0699 - Permit Applicationx�tr�rcrmh Worksheet for Building Combo Permit Application Comm'I City of Newport Beach - Building Division � [Z Residential NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL A „ G?Building F_Gradingr–Drainage r–Elec F–Mech F–PlumCu Yd cut Cu Yd Filll Project Address (Not mailing address); Floor Suite No 1100 Corolla (Building 39: 1100-1110) F Description of Work Use F Re -coat private decks / stair landings and 'like -for -like' replacement of damaged wood framing # Stories # Units (If Res)r 8 Imern b. rs where occurscluring.ErbigfliFilshr work, Valuation $ 52,000.00 Material/Labor New/Add SFF— Remodel SF�— Garage/New/Add F_ OWNER'S NAME Last Friedman Fvst'Phillip Owner's Address Owner's E-mail Address 5500 Newport Center Drive pfriedman@irvtoecompany.com City Newport Beach State CA Zip f92669 Telephone 949-720-5468 APPLICANT'S NAME Last Matsushita First Talk ' Applicant's Address Applicants E-mail Address 1744 West Katella Ave 107 tmatsushita@dalechristian.com city Orange State CA Zip 92867 Telephone]714-997-1145 ARCHITECT/DESIGNER'S NAME Last �— First s Lic. No. r -' Architect/Designer's Address Architect/Designer's E-mail Address City State F— 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@dalechristien.com City Orange State CA, Zip 92867 Telephone 714-997-1145 CONTRACTOR'S NAME/COMPANY Lic. No. F_Class_ Contractors Address Contractor's E-mail Address City State F_ Zip F— Telephone[— elephonedENERGY ENERGYPIC FEE $ FIRE P/C FEE $ _ PERMIT NO, { �' / GRADING PIC FEE $ PLANNING P/C FEE $ PLAN CHECK NO:, ELECIPLUMIMECH PIC FEE $ PLAN CHECK FEE $ DEVELOPMENT # TOTAL FEES PAID $