HomeMy WebLinkAboutXR2023-3288 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 05-:--1r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding rGrading rDrainage rElec rMech rPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
940 Irvine Ave. Newport Beach, CA 92663 I A104
Description of Work
Use F Const Type F
# StoriesF3 # Units (if Res)F
Water damage repairs of drywall and insulation at unit #A1 04 kitchen. bathroom- hpdroom. and
living room areas.
Valuation$
SF 250 Remodel SF 7 Garage/New/Add
F4,OOONew/Add
Material/Labor
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 92663 Telephone 949-246-6108
APPLICANT'S NAME Last Warren First Tim
Applicant's Address Applicant's 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.1
Architect/Designer's Address Architect/Designer's E-mail Address
City State F Zip F TelephoneF
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
City State F Zip F TelephoneF
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. XKZO
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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