HomeMy WebLinkAboutXR2024-1028 - Permit ApplicationPrint�orliT' Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX-Building r Grading r-Drainage r Elec
Project Address
855 Seagull Ln.
Description of Work
ep ace ulyWdli and Ins(
New/AddSFF_
OWNER'S NAME
Owner's Address
2115 Sherington PI.
r- Mech r- Plum Cu
Cu Yd Fill
I- Flood r- Fire j- Liq I- Landslide [_N/A Floor Suite No
[2 AS206
Remodel SF 14 Garage/New/Add
Last
City Newport Beach State CA
APPLICANT'S NAME Last
First
Use s ConstType s
# StoriesF3 # Units (if Res)s
Valuation $
F-- Material/Labor F
0
Owners E-mail Address
PHerber@UDR.com
Zip 92663 Telephone (949)246-6108
First
Applicant's Address Applicant's E-mail Address
7221 Orangewood Ave. Psaucedo@WestRockRestoration.com
City Garden Grove State CA Zip 92841 Telephone (714)737-7089
ARCHITECT/DESIGNER'S NAME
Last
Architect/Designers Address
City
ENGINEER'S NAME Last
Engineer's Address
City
CONTRACTOR'S NAME/COMPANY
First I Lic. No. F6
Architect/Designer's E-mail Address
State r- Zip F� Telephoned
First Lic Nos
Engineer's E-mail Address
State F Zip I TelephoneF -
WestRock Restoration Lic. No. 986693 Class
Contractor's Address
7221 Orangewood Ave.
City Garden Grove State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
iPsaucedo@WestRockRestoration.com
Zip 92841 Telephone (714)737-7089
PERMIT NO. ) �`_ _ IU
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $