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HomeMy WebLinkAboutXR2023-2926 - Permit ApplicationPrint Form ,' Worksheet for Combo Building & Solar Permit Application CAW WPci� Comm'I r Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL N DMilding r- Grading rDrainage r Elec r Mech r Plum Cu Yd Cut Cu Yd Fill F Project Address (Not mailing address) R Flood j- Fire r- Liq r- Landslide F_N/A Floor Suite No 1895 Sherington PI. Newport Beach, CA 92663 1-2 lCorriclor Description of Work Use t ConstType Water damage to Building TS Corridor. repairs Replace 26sf of 5/8 drywall, 6sf of R19 insulation, # Stories # Units (if Resj- Valuation S [561 14 Material/Labor New/Add SF�— Remodel SF 26 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 2663 Telephone 49-246-6108 APPLICANT'S NAME Last arren First rim Applicant's Address Applicant's E-mail Address 221 Orangewood Ave. arren@signalrestoration.com City Garden Grove State CA Zip 2841 Telephone 714-737-7082 ARCHITECT/DESIGNER'S NAME Last First- F Lic. No. Architect/Designer's Address Architect/Designees E-mail Address City State Zip F__ Telephoned ENGINEER'S NAME Last First Lic. No.F— Engineer's Address Engineer's E-mail Address City State Zip Telephone CONTRACTOR'S NAME/COMPANY Signal Restoration Lic. No. 986693 Class FB 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. SETBACKS LEFT SETBACKS RIGHTPLAN CHECK NO. I USE ZONE DEVELOPMENT NO PLAN CHECK FE