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HomeMy WebLinkAboutXR2022-1873 - Permit ApplicationPrint Form j Worksheet for Combo Building & Solar Permit Application pw Comm'I Residential City of Newport Beach -Building Division �3 NOTE: PLAN CHECK FEES DUE AT TIME OF SUB ITTAL 7 r 9 I ct� �, `+10;, RBuilding r Grading rDrainage rElec rMech r Plum CuvdCut s CuYdFill �! Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rIN/A Floor Suite No 880 IRVINE AVE, NEWPORT BEACH CA 92663 1-3 MULTI Description of Work Use Const Type s ATER DAMAGE REPAIRS IN UNITS XS102, J209, N104, N111, N103, B5107 & RS216 # Stories # Units (if Res)F_ Valuation $ F$12000.00 Material/Labor New/Add SF Remodel SF 200 Garage/New/Add ER'S NAE �RBER 1 Owners Address �t t/�i1'@F's wE-mail Address 15 1SHERINGTON PLACE PHERBER@UDR.COM City NEWPORT BEACH State CA Zip 92663 Telephone (949) 246-6108 APPLICANT'S NAME Last PERRY First RICHARD Applicant's Address Applicant's E-mail Address 7221 ORANGEWOOD AVENUE RPERRY@SIGNALRESTORATION.COM City GARDEN GROVE State CA Zip 92841 Telephone (714) 733-3976 ARCHITECT/DESIGNER'S NAME Last HURLEY First FON Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address 14583 CHERRY STREET City BRIGHTON State CO _ Zip F0602 Telephone (619) 248-2673 ENGINEER'S NAME Last I First F_ Lic�No.rc/ Engineer's Address i 1 �� ' (`f, Engineer's E-mail Address City State Zip F- Telephone t � , I 0 CONTRACTOR'S NAME/COMPANY SIGNAL RESTORATION INC Lic. No. 986693 Class' Contractor's Address Contractor's E-mail Address 7221 ORANGEWOOD AVENUE RPERRY@SIGNALRESTORATION.COM City GARDEN GROVE State CA Zip F2841 Telephone (714) 733-3976 SETBACKS REAR SETBACKS FRONT PERMIT NO. ( �� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $