HomeMy WebLinkAboutX2019-0678 - Permit ApplicationPnntorm Worksheet for Building Combo Permit Application
r Comm'] fjZ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SURMITTAI ._:.
QBuilding (-Grading r -Drainage [Elec F -Mach F -Plum cuvdCut F CuYdFill
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Project Address (Not mailing address)_
Floor suite No
2524 Salerno (Building 22: 2524.2534)
Description of Work
Use
. _
Re -coat private decks/ stair landings and like-for-like"replacement of damaged wood framing
# Stories # Units (if Res)r 8
mem ers winare occurs rang ecants uvo
Valuation $ 52000.00
Material/Labor
New/Add SFI Remodel 5FF
Garage/New/Add 1�
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 Zip92660 Teiephorre 949-720-5468
APPLICANT'SNAME Last JIVIatsushita
FirstiTak
Applicants Address -
,Applicant's 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 � I �.
'
Lic Na.;F—
Architect/Designer's Address
Architect/Designer's E-mail Address
city'l State F—
Zip Telephone_
ENGINEER'S NAME Last Christian
First Dale L(C.Noi]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—. Telephoned—
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO,,
ELEC/PLUM/MECH P/C FEE $ ,.
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $