HomeMy WebLinkAboutXR2023-3265 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ON
r Comml r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding rGrading j—Drainage rElec rMech
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rPlum cuvdCut s CuYdFill
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Project Address (Not mailing address)\I— Flood r Fire r Liq I— Landslide rN/A Floor Suite No
940 Irvine Ave. Newport Beach, CA 92663 Units #A312 & A111 1 &3
Description of Work
Use s ConstType
Water damage repairs of drywall and insulation at units #A312 bathroom
and k'trhen areas.
# Storiess # Units (if Ress
#A111 bathroom area.
Valuation $ 1,000
Material/Labor
New/Add SF 37 Remodel SF F Garage/New/Add F—
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 F2663 Telephone 949-246-6108
APPLICANT'S NAME Last Warren
First Tim
Applicant's 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/Designees E-mail Address
City I State F_
Zip �— Telephones
ENGINEER'S NAME Last
First— Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City State F—
Zip F— Telephoner
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. XYiLfJL,�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $