HomeMy WebLinkAboutXR2023-2868 - Permit Application_ Print Form 1 Worksheet for Combo Building & Solar Permit Application ICU)
R Comm'I r, Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
RBuilding r—Grading
rDrainage rElec rMech
F-Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) R Flood r Fire F_ Liq r— Landslide r_N/A Floor Suite No
1875 Sherington PI. Unit #SS204 Newport Beach, CA 92663 I` 55204
Description of Work
Use ConstType �—
ater damage repairs to unit #SS204- Replace 16sf of 5/8 drywall at the kitchen area.
# Stories # Units (if Res)r 1
Valuation
New/Add SF�
Remodel SF 16sf Garage/New/Add
$
Material/Labor 3
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
APPLICANT'S NAME
Last Farren
First ITim
Applicant's Address
Applicant's E-mail Address
7221 Orangewood Ave.
arren@signalrestoration.com
City Garden Grove
State CA
Zip 92841 Telephone 714-737-7082
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip F Telephone
ENGINEER'S NAME
Last
First F Lit. NoF
Engineer's Address
Engineer's E-mail Address
City
State I
Zip F Telephone
F
CONTRACTOR'S NAME/COMPANY Signal Restoration
Lic. No. 986693 Class I_
Contractor's Address
Contractor's E-mail Address
221 Orangewood Ave.
arren@signalrestortaioin.com
City Garden Grove
State CA
Zip 2841 Telephone714-737-7082
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. s 4 Z� Wo2,
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $