HomeMy WebLinkAboutXR2023-3304 - Permit ApplicationWilrif [ orm Worksheet for Combo Building & Solar Permit Application 66,41-0.r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
hCBuilding rGrading rDrainage rElec rMech rPlum Cuvdcuf CuYdFill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
1890 E. 16th St. Newport Beach, CA 92663 I` #KS2os
Description of Work
Use s Const Type s
# StoriesF3 # Units (if Ress
Water damage repairs of 8 rywall and Insulation at uni c en area.
Valuation $
New/Add SF 80 Remodel SFF Garage/New/Add F
F1124-00
Matedal/Labor
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. F_
ArchitecUDesigner's Address Architect/Designer's E-mail Address
City State F Zip F TelephoneF
ENGINEER'S NAME Last Firsts- Lic. NoF
Engineer's Address Engineer's E-mail Address
City State � Zip � 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 SETBACKS FRONT PERMIT NO. 2y
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $