HomeMy WebLinkAboutXR2023-2927 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach -Building Division
-----------------
GZ Comm'I r— Residential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
5ZBuilding r Grading rDrainage rElec r—Mech
r Plum CuvdCut F CuvdFill F
Project Address (Not mailing address) IZ Flood r" Fire r Liq r Landslide rN/A Floor Suite No
1650 E. 16th Street unit #FS202 Newport Beach, CA 92633 12 FS202
Description of Work
Use - ConstType
Water damage
repairs to Unit #FS202. Replace 20sf of 5/8 drywall
and 20sf of R19 insulation at
# Stories # Units (if Res)F
Valuation $ F780
Material/Labor
New/Add SF�— Remodel SF 20 Garage/New/Add r
OWNER'S NAME Last Herber
First Paul
Owner's Address
Owner's E-mail Address
115 Sherington Place
pherber@udr.com
City Newport Beach State CA
Zip 2663 Telephone 49-246-6 008
APPLICANT'S NAME Last arren
First[Tim
Applicant's Address
Applicant's E-mail Address
221 Orangewood Ave.
arren@signalrestoration.com
City Garden Grove State CA
Zip 92841 Telephone 14-737-7082
ARCHITECT/DESIGNER'S NAME Last
First Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F___
Zip F— Telephoned
ENGINEER'S NAME Last
First �— Lic. NoF
Engineer's Address
Engineer's E-mail Address
City State
Zip TelephoneF—
CONTRACTOR'S NAME/COMPANY Signal Restoration
Lic No. 86693 Class
Contractor's Address
Contractor's E-mail Address
221 Orangewood Ave.
arren@signalrestortaioin.com
City Garden Grove State CA
Zip 2841 Telephone 714-737-7082
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO
USE ZONE DEVELOPMENT NO
WJT-
PLAN CHECK FEES $