HomeMy WebLinkAboutXR2024-6125 - Permit ApplicationPrint Form_ Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Mx Building F_Grading rDrainage rElec rMech r- Plum Cuydcuts CuvdFill
Project Address (Not mailing address) r Flood r Fire r- Liq r- Landslide rX_N/A Floor Suite No
1650 16TH ST #FS107
Description of Work
Use FM ConstType VA
# StoriesF # U i
Valuation $
Material/Labor G
APPROX. 120SFOF DRYWALL REPLACEMENT, 120SFOF R19 —TAN A (_Vo/✓t
New/Add SF2�� Remodel SF Garage/New/Add [o__
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
APPLICANT'S NAME Last Lopez First Oliver
Applicant's 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.
Architect/Designees Address Architect/Designer's E-mail Address
23091 2 FAIR PARK AVE stevegrohne@gmail.com
City Los Angeles State CA Zip 90041 Telephone 323 636-7347
ENGINEER'S NAME Last First Lic. NoF
Engineer's Address Engineer's E-mail Address
City State F— Zip F TelephoneF
CONTRACTOR'S NAME/COMPANY We_cLic. No. RYA �oW 3 Class
Contractor's 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.�/L�LO'2-�Q A_O Lam'
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $