HomeMy WebLinkAboutXR2023-0864 - Permit ApplicationPrint Form 1 Worksheet for Combo Building & Solar Permit Application ��`Wpo"�
[� Comm] F Residential City of Newport Beach - Building Division o l
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
5ZBuilding rGrading rDrainage rElec rMech j—Plum Cu vd Cuts Cu Yd Fills
Project Address (Not mailing address) r Flood r Fire f Liq r Landslide FN/A Floor Suite No
880 Irvine Ave, Newport Beach CA 92663
t-3 F—
Description of Work
0
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Use F ConstType s
# Storiess #Units (if Res)s
Water Damage repairs on units : S O � �5 ( 01,
JTZo
S � 7S
T5 3 03 � S 0 b I ] �7CJ
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Valuation $ IW
Material/Labor /��
New/Add SFs— I
Remodel SF
Garage/New/Add
C
OWNER'S NAME Last Herber
First Paul
Owner's Address
Owner's E-mail Address
115 Sherrington Palce
PHERBER@UDR.com
City Newport Beach
State CA Zip 92663 Telephone (949)246-6108
APPLICANT'S NAME Last
Fohnson
First Charles
Applicant's Address
Applicant's E-mail Address
221 Orangewood Ave.
cjohnson@signalrestoration.com
City Garden Grove
State CA
Zip F2663 Telephone 714-955-8307
ARCHITECT/DESIGNER'S NAME
Last Hurley First Fon Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
14583 Cherry St.
City Brighton
State CO
Zip 92841 TelephoneF
ENGINEER'S NAME Last
First— Lic. No.r—
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip I-- TelephoneF_
CONTRACTOR'S NAME/COMPANY
ignal Restoration
Lic. No. 986693 Class
Contractor's Address
Contractor's E-mail Address
7221 Orangewood Ave
johnson@signalrestoration.com
City Garden Grove
State CA
Zip 2663 Telephone 14-955-8307
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SETBACKS REAR
SETBACKS FRONT
Z3-D Z X ZD23•D
PERMIT NO. .� _ p
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. �J -
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $