HomeMy WebLinkAboutXR2023-2876 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application oA, l6
GZ Comm'I F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL y
5ZBuilding r' Grading rDrainage r Elec rMech
r Plum CuYdCut s CuYdRII s
Project Address (Not mailing address) R Flood r Fire r Liq F_ Landslide rN/A Floor Suite No
835 Seagull Ln. Newport Beach, CA 92663
I' orridor
Description of Work
Use ConstType s
Water damage repairs. Replace 72sf of 5/8 drywall, 24sf of R19 insulation,
and 48sf of R13
# Stories # Units (if Res)s
Valuation $ 1 20
Material/Labor bb�
New/Add SF� Remodel SF 72sf Garage/New/Add F
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 arren
First Firn
Applicant's Address
Applicant's E-mail Address
221 Orangewood Ave.
arren@signalrestoration.com
City Garden Grove State CA
Zip 92841 Telephone 714-737-7082
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.
Arch itect/Designer's Address
Architect/Designer's E-mail Address
City State F
Zip F TelephoneF
ENGINEER'S NAME Last
First F Lic. No.F
Engineer's Address
Engineer's E-mail Address
City State F
Zip F Telephone
CONTRACTOR'S NAME/COMPANY Signal Restoration
Lic. No. 986693 Class I"
Contractor's Address
Contractor's E-mail Address
7221 Orangewood Ave.
arren@signalrestortaioin.com
City Garden Grove State CA
Zip F2841 Telephone 714-737-7082
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $