HomeMy WebLinkAboutXR2023-3287 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ocE'PoR,e
r Comm'l r— Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding rGrading rDrainage rElec rMech rPlum cuvdcuts CuvdFill s
Project Address (Not mailing address) r Flood r" Fire r Liq r Landslide rN/A Floor Suite No
1975 Sherington Pl. Newport Beach, CA 92663 I` H212
Description of Work
Use s Const Type s
# Stories # Units (if Res 1
a er damage repairs o drywallan Insulation a unitbathroom area.
Valuation $
500
Material/Labor
New/Add SF 25 Remodel SFF Garage/New/Add
OWNER'S NAME Last Herber First Paul
Owner's Address Owner's E-mail Address
2115 Sherington PI. pherber@udr.com
City Newport Beach State CA Zip 92663 Telephone 949-246-6108
APPLICANT'S NAME Last Warren First Tim
Applicant's Address Applicant's E-mail Address
7221 Orangewood Ave. twarren@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 F_ Zip F TelephoneF
ENGINEER'S NAME Last First Lic. NoT
Engineer's Address Engineer's E-mail Address
City State F Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Signal Restoration Lic. No. 986693 Class
Contractor's Address Contractor's E-mail Address
7221 Orangewood Ave. twarren@signalrestoration.com
City Garden Grove State CA Zip 92841 Telephone 714-737-7082
SETBACKS REAR fAA KSFRONT PERM TNOO R�SETBACKSLEFT �RIG i;0 r CK N0. ol
USE ZONE DEVELOP LAN CHECK FEES $