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HomeMy WebLinkAboutXR2023-2867 - Permit ApplicationPrint Form j Worksheet for Combo Building & Solar Permit Application @1, ReGZ Comm'I rResidential City of Newport Beach - Building Division �'7 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Xr.o.��' GZBuilding r Grading rDrainage r Elec rMech r Plum Cu Yd Cuts Cu Yd rill s Project Address (Not mailing address) R Flood r Fire i— Liq r Landslide rN/A Floor Suite No 1605 Sherington PI. Unit #YS105 Newport Beach, CA 92663 I' S105 Description of Work Use ConstType �— ater damage repairs to unit #YS105- Replace 23sf of 5/8 drywall and 23sf of R13 insulation at # Stories # Units (if Res) Valuation �(UlttD,— Material/Labo F7 New/Add SF� Remodel SF 23sf 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 92663 Telephone 949-246-6108 APPLICANT'S NAME Last arren First ITim Applicant's Address Applicant's E-mail Address 221 Orangewood Ave. arren@signalrestoration.com City Garden Grove State CA Zip 92841 Telephone 14-737-7082 ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. �— Arch itect/Designer's Address Architect/Designer's E-mail Address City State F— Zip Telephoned ENGINEER'S NAME Last First Lic. NoF® Engineer's Address Engineers E-mail Address City State �— Zip F Telephone CONTRACTOR'S NAME/COMPANY Signal Restoration Lic. No. 986693 Class Contractor's Address Contractor's E-mail Address 7221 Orangewood Ave. arren@signalrestortaioin.com City Garden Grove State CA Zip 2841 Telephone 714-737-7082 SETBACKS REAR SETBACKS FRONT PERMIT NO. Cr1/t'iPU ?� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $