HomeMy WebLinkAboutX2019-0681 - Permit Applicationnntorrtt r Worksheet for Building Combo Permit Application
r Comm'I D? Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
07
RBuiiding F_ Grading rDrainage l—Elec r— Mach rPlum CuvdCut r a,vdFill
Project Address (Not mailing address)
Floor Suite No
1300 Cartagena (Building 25: 1300-1315)
F
Description of Work
Use
Re -coat private decks/ stair landings and like-for-like'replacementofdamaged wood framing
mgmpers w ere occurs ng r3`ecCcfinl"s1tWOr # Stories # Units (if Res) 12
New/Add SFr° ^- Remodel SF_
Valuation $ -
Garage/New/Add i Material/Labor SZ' O"00
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'S NAME Last Matsushita
First Tak
Applicants Address
Applicant's E-mail Address
1744 West Katella Ave 107
tmatsushita@dalechristian.com
City Orange State CA
Zip, 92867 Telephone714-997-1145
ARCHITECT/DESIGNER'SNAME Last...
- First Lic.No._F_..,.
.._
ArchitectIDesigner's Address
Architect/Designer's E-mail Address
City F_ State
Zip -F— TelephanaF—
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
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 � State F_
Zip F_ TelephooelJ�
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING PIC FEE $ PLANNING PIC FEE $
PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $ -
PLAN CHECK FEE $
DEVELOPMENT#
TOTAL FEES PAID $ -