HomeMy WebLinkAboutXR2023-2990 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
iZ Comm'I (— Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
iZBuilding j— Grading
[—Drainage r—Elec [-Mech [- Plum CuYdCut CuvdFill F
Project Address (Not mailing address) IZ Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
1605 Sherington PI. Unit #YS212 Newport Beach, CA 92663 I` s212
Description of Work
of 521Z
Use F—ConstType
damage
ater repairs to unit
#Y5r2B2. Replace 32sf of 5/8 dryawl] and 11 sf of R19 insulation at
# Stories # Units (if Res)
Valuation $F?�81New/Add
Material/Labo
SFFRemodel
SF 32sf Garage/New/Add
OWNER'S NAME
Last Herber First Paul
Owner's Address
Owner's E-mail Address
115 Sherington Place
pherber@udr.com
City Newport Beach
State CA Zip 92663 Telephone 949-246-6108
APPLICANTS NAME
Last arren First ITIM
Applicant's Address
Applicant's E-mail Address
221 Orangewood Ave.
arren@signalrestoration.com
City Garden Grove
State CA Zip 92841 Telephone 14-737-7082
ARCHITECT/DESIGNER'S NAME Last First 7 F—
Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City I
State �— Zip F_ Telephoned
ENGINEER'S NAME
Last First F— Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City
State Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY Signal Restoration Lic. No. 86693 Class IB
Contractor's Address
Contractor's E-mail Address
221 Orangewood Ave.
arren@signalrestortaioin.com
City Garden Grove
State CA Zip 2841 Telephone 14-737-7082
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 'LA Cl Q
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $