HomeMy WebLinkAboutXR2023-2875 - Permit ApplicationPrint Form j Worksheet for Combo Building & Solar Permit Application
GZ Comm] r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
OzBuilding rGrading
rDrainage rElec rMech rPlum Cu vd cutF— Cu Yd FillF_
Project Address (Not mailing address) R Flood r Fire r Liq r Landslide rN/A Floor Suite No
115 Sherington Place Unit #D111 Newport Beach, CA 92663 F Dt t 1
Description of Work
Use Const Type
damage
ater repairs. Replace 39sf of 5/8 drywall at the bathroom and entry of unit #D111
# Stories[ # Units (if Res 111
New/Add SFF_
Remodel SF 39sf Garage/New/Add F
Valuation $
Material/Labor ; 0 S(?rt7�
OWNER'S NAME
Last Herber First Paul
Owner's Address
Owner's E-mail Address
115 Sherington Place
herber@udr.com
City Newport Beach
State CA Zip Fi883 Telephone 949-248-8108
APPLICANTS NAME
Last arren First Fim
Applicant's Address
Applicant's E-mail Address
221 Orangewood Ave.
arren@signalrestoration.com
City Garden Grove
State CA Zip 2841 Telephone 14-737-7082
ARCHITECT/DESIGNER'S NAME Last First I
Lic. No.
Arch itect/Designer's Address
Architect/Designees E-mail Address
City
State Zip F Telephoned
ENGINEER'S NAME
Last First Lic. No. —
Engineer's Address
Engineer's E-mail Address
City
State F__ Zip I TelephoneF
CONTRACTOR'S NAME/COMPANY ignal Restoration Lic. No. 986693 Class B
Contractor's Address
Contractor's E-mail Address
7221 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 RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $