HomeMy WebLinkAboutX2019-0668 - Permit ApplicationWorksheet for Building Combo Permit Application
r— Comm'I R Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL 9
713uilding r Grading r—Drainage r'Elec rMech r-Plumcuvdcuf— CuYdwl.[_
Projoat Address (Notimaill][ng address)
-
Floor Suite No
2116 Bastia (Building 12: 2116-2131)
r F'
Description of Work
Use
Re -coat private decks/ stair landings and 'like -for -like' replacement
of damaged wood framing
0Storiesl2 # Units (if Res) 12
mem,,memp erswriere,oc,curscluringgocl—WhI wor.
$ 52,000.00
Material/Labor
New/Add SFJ Remodel SF F—
('Valuation
Garage/New/Add I
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
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'S NAME Last
First Lic. No. �—
Architect/Designer's Address
Architect/Designers E-mail Address
City �— State ��.
Zip F— Telephonel
ENGINEER'S NAME Last Christian
_ First Dale — Lic N0. E2705
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 i State .FT
Zip F_Telephone��—.
'.. ENERGY P/C FEE $ FIRE P/C FEE 5
PERMIT NO LIN •
GRADING P/C FEE $ .. PLANNING P/C FEE $
PLAN CHECK NO,
ELEC/PLUM/MECH PIC. FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $