HomeMy WebLinkAboutX2019-0683 - Permit ApplicationnrttFarm ¢ Worksheet for Building Combo Permit Application
F- Comm'I DZ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
DZBuilding F_Gradingr-Drainage r-Elec FMach F-Plumcuvdcur CuvdFill 7
r+rojeet Address ;(Not mailing; address}
Floor Suite No
7400 Posada (Building 27: 1400-1410)
F—
Description of Work
Use
Re -coat private decks / stair landings and 'like for -like' replacement of damaged wood framing
# Stories # Units (if Res) 10
Imem er5 w ere occurs unng,diMin S wor .
"Valuation$
New/Add SF� Remodel SFrGarage/New/Add
F
Material/Labo[52,000.00OWNER'S
NAME Last Friedman First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive
pfriedman@irvinecompany.com
City Newport Beach StateCA zip 92660 Telephone 949-720-5468
APPLICANT'SNAME Last Matsushita
First.Tak-
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
ARCHITECTIDESIGNER'SNAME Last
First',�—
Lic No.
Architect/Designer's Address
Architect/Designer's E-mail Address
Ciry � State �
Zip F_ TelephoneF_
ENGINEER'S NAME Last Christian
First Pale _ Llc: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
NAMEICOMPANY
lassCCONTRACTOR'S
Lic. No. F_ Class[—
Contractor's
ontractor's Address
Contractor's E-mail Address
city � State F�
Zip, Telephone—
ENERGY PIC FEE $ FIRE PIC FEE $
PERMIT NO 7 %O'l- 0 (.Q b
GRADING. PIC FEE $ PLANNING: PIC FEE $
PLAN CHECK NO. _
''.ELEC/PLUM/MECHPIC FEE$
_..PLAN CHECK FEE $
' DEVELOPMENT #
TOTAL FEES PAID $