HomeMy WebLinkAboutXR2023-2877 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application ,///��" °•>m
(j( Comm'I j`, Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
RBuilding r- Grading r-Drainage r Elec r Mech r- Plum Cu yd cuts Cu Yd rill s
Project Address (Not mailing address) PZ Flood r Fire r Liq r" Landslide r_N/A Floor Suite No
2110 E. 16th Street Unit #0207 Newport Beach, CA 92663 207
Description of Work
Use ConstType
ater damage repairs. Replace 14sf of 5/8 drywall and 14sf of R13 insulation by rear sliding door
# Stories # Units (if Res)F207
f living room area.
Valuation $
New/Add SFF Remodel SF 14sf Garage/New/Add F
Material/Labor �(Jp
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 949-246-6108
APPLICANTS NAME Last arren First Firn
Applicant's Address Applicant's E-mail Address
221 Orangewood Ave. arren@signalrestoration.com
City lGarden Grove State CA Zip 92841 Telephone 14-737-7082
ARCHITECT/DESIGNER'S NAME Last First F Lic. No.
ArchitecttDesigner's Address Architect/Designees E-mail Address
City State I— Zip �— Telephoned
ENGINEER'S NAME Last First F Lic. No.
Engineer's Address Engineer's E-mail Address
City State Zip Telephone
CONTRACTOR'S NAME/COMPANY ignal 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 14-737-7082
SETBACKS REAR SETBACKS FRONT PERMIT NO. 24i7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $