HomeMy WebLinkAboutXR2023-3298 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application a��"
� Comm'] F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL N11.o •l'
rBuilding r Grading rDrainage rElec rMech
r Plum CuYdCutF-- CuYdFill F_
Project Address (Not mailing address) r Flood
r' Fire I— Liq r Landslide r'N/A Floor Suite No
7655 Sherington PI. Newport Beach, CA 92663 �— zS109
Description of Work
Use F Const Type F
# StoriesF3 # Units (if Res)F
Water damage repairs of d rywa 11 and insulation at umt IFL�) 109 batPiroom
and van y areas.
Valuation $
New/Add SF 96 Remodel SFF Garage/New/Add F
Material/Labor F2,420.00
OWNER'S NAME Last Herber
First Paul
Owners Address
Owner's E-mail Address
2115 Sherington PI.
pherber@udccom
City Newport Beach State CA
Zip 92663 Telephone 949-246-6108
APPLICANT'S NAME Last Warren
First Tim
Applicants Address
Applicants 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 F__ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F_
Zip F Telephoned -
ENGINEER'S NAME Last
First Lic. No.1
Engineer's Address
Engineer's E-mail Address
City State F_
Zip F Telephone7—
CONTRACTOR'S NAME/COMPANY Signal Restoration
Lic. No. 986693 Class r
Contractor's Address
Contractor's E-mail Address
7221 Orangewood Ave.
twarren@signalrestoration.com
City 1 Garden Grove State CA
Zip 92841 Telephone 714-737-7082
SETBACKS REAR SETBACKS FRONT
PERMIT NO. X1t7.07.it
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $