HomeMy WebLinkAboutX2019-0661 - Permit ApplicationPnnt.Form,l .. '
F Comm'f X Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
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XBuilding F-GradingF-Drainage
rElec F_Mech rplum Cu Yd Cut Cu Yd Filll
Project Address (Not mailing address)
Floor Suite No
2712 Amalfi (Building 5: 2712-2727) I
Description of Work
...
Use
Re-coatprlvate decks/ stair landings and like-for-like'replacementofdamaged wood framing
# Stories # Units (If Resf 16
mem ers w tere,dccurs unngec Inish wor
Valuation $ 52,000.00
-Material/Labor
New/Add SF�._.....
Remodel SF_ Garage/New/Add �—
OWNER'S NAME
Last Friedman First Phillip
Owner's Address
Owner's E-mail Address
5500 Newport Center Drive pfriedman@irvinecompany.com
City NewpartBeach
State CA Zip 92660 Telephone -720-5468
APPLICANT'SNAME
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—��— Firstll---^— � Lic No. �
Architect/Designer's Address
Architect/Designer's E-mail Address
city--
State �� ZIP Telephone
'.. ENGINEER'S NAME
Last rChnstian 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 -� Zip �^ Tole phgrIOF —
ENERGY PIC FEE $
FIRE P/C FEE $ _ PERMIT NOj
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK O..
ELEC/PLUM/MECH PIC FEE $
PLAN CHECK FEE
DEVELOPMENT #
TOTAL FEES PAID $