HomeMy WebLinkAboutX2019-0682 - Permit ApplicationFrtrrkFcrrtlr ? Worksheet for Building Combo Permit Application
I— Comm'I R Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL -
VBuilding r Grading rDrainage F_ rMech r Plum cuvdCut CuvdFill
Project Address (Not mailing address)
Floor Suite No
1328 Cartegena (Building 26: 1328-1339)
^
Description of Work
Use
Re coat private decks /stair landings and like -for -like' replacement of damaged wood framing
#Stories[ # Units (If Res) to
ersw ere occursnng eNTMK -mi
Imem
New/Add SFF Remodel SFF-
Garage/New/Add
valuation 5 52,000.00
Material/Labor
OWNER'S NAME 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'SNAME LastMatsushita
First
Applicant's Address
Applicant's E-mail Address
1744 West Katella Ave 107
t1 11 matsushita@dalechhistian.com
City Orange �Y State CA
Zip 92867 Telephone 714 997-1145
ARCHITECT/DESIGNER'S NAME Last---�—, First Lic No.
Architect/Designer's Address
Architect/Designer's E-mail Address
C;ty State F
Zip.[— Telephone
ENGINEER'S NAME Last Christian
First Hale n Lic.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 r — State
Zip — Telephone[
_ENERGY P/C FEE $ FIRE P/C FEES
PERMIT NO. .0 l9 $2_
'GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $