HomeMy WebLinkAboutXR2024-6122 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F- Comm'I [X_ { Residential City of Newport Beach - Building Division o d
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading rDrainage j- Elec r Mech r Plum CuvdcuT CuYdFill s
Project Address (Not mailing address) Flood r Fire r Liq r Landslide ><N/A Floor Suite No
1800 16TH ST #HS104
Description of Work
Use RM ConstType VA
#Stories # Unjts (if Res)
APPROX.100SF OF DRYWALL REPLACEMENT, 100SF OF R19 — K� �- ,yt 'I %-OD
Valuation $ r�
Material/Labor b
—
New/AddSFs— Remodel SF 20� IV Garage/New/Add
OWNER'S NAME Last UDR NEWPORT BEACH, L.P First
Owner's Address Owner's E-mail Address
1745 Shea Center Dr, STE 200 pherber@udr.com
City Highlands Ranch State CO Zip 80112-9 Telephone 720-283-6120
APPLICANTSNAME Last Lopez First Oliver
Applicants Address Applicant's E-mail Address
619 S. Fremont Ave. olopez@scplanners.com
City Alhambra State CA Zip 91803 Telephone 310-591-8198
ARCHITECT/DESIGNER'S NAME Last Grohne First Steve Lic. No. F—
Architect/Designers Address Architect/Designees E-mail Address
23091 2 FAIR PARK AVE stevegrohne@gmail.com
City Los Angeles State CA Zip 90041 Telephone 323 G36-7347
ENGINEER'S NAME Last First 7— Lic. No f —
Engineers Address Engineer's E-mail Address
City State Zip F Telephoned'
CONTRACTOR'S NAME/COMPANY -W D�4 ( rVVI Lic. No. Q Class
Contractors Address Contractor's E-mail Address
7221 Orangewood Ave. twarren@westrockrestoration.com
City Garden Grove State CA Zip 92841 Telephone 714-737-7082
SETBACKS REAR SETBACKS FRONT PERMIT NO.yV ". LplvY
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $