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HomeMy WebLinkAboutX2019-0677 - Permit ApplicationPrinrForm„_. Worksheet for Building Combo Permit Application j- Comm'I [? Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUF AT TIME OF Al IRMITTAI �G.. _, . [Building F_Grading F -Drainage F_Elec FMach F -Plum Cu Yd Cut Cu Yd Fill Pro ect Address (Not mailing, address) Floor Suite No 2512 Salerno (Building 21: 2512-2522) F F Description of Work - - - Use - Re -coat private decks / stair landings and'like-for-like' replacement of damaged wood framing # Stories # Units (if Res) mem ers w ere occurs curing.dsrCkftMsh.. wor Valuation $ F52,070000New/Add Material/Labo SF1Remodel SF1 Garage/New/AddF 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 Talk Applicant's 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'SNAME Last First Lic No..� I. Architect/Designer's Address - Architect/Designer's E-mail Address City --� State C— 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@dalechristian.com city Orange State 11CA Zip 92867 Telephoniq714-997-1145 CONTRACTOR'S NAME/COMPANY I Lic No. -.. Class Contractor's Address Contractor's E-mail Address city _ State �_ Zip r—Telephone— . ENERGY P/C FEE $ FIRE P/C FEES PERMIT NO, _.. GRADING PIC FEE $ PLANNING P/C FEE $ PLAN CHECK NO. ELEC/PLUM/MECH PIC FEE $ - PLAN CHECK FEE $ DEVELOPMENT # TOTAL FEES PAID $