HomeMy WebLinkAboutPV2019-100 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
OF,-P�?06R" �ooCity of Newport Beach - Building Division '� r Comm'I IX Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT
rBuilding r Grading
rDrainage r Elec r Mech r Plum CuvdcutF— CuvdFill F_
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rXN/A Floor Suite No
Drive
1528 Santiago
Description of Work
Use R-1 Const Type d frm
# Stories 2� #Units (if Res)
Volar Photovotaiac panel installation
Valuation $
New/Add SFr
Remodel SF Garage/New/Add F
19,000
Material/Labor
OWNER'S NAME
Last Reynolds First Barbara
Owner's Address
Owner's E-mail Address
916 Sam Snead Trail
Iclintonreynolds@gmail.com
City Billings
State MT Zip 9106 Telephone 06-698-1898
APPLICANTS NAME
Last Reynolds First Clint
Applicant's Address
Applicant's E-mail Address.
916 Sam Snead Trail
Iclintonreynolds@gmail.com
City Billings
State MT Zip 59106 Telephone 06-698-1898
ARCHITECT/DESIGNER'S NAME LastF First �— Lic. No.
Architect(Designer's Address
Architect/Designer's E-mail Address
City
State f— Zip F Telephone
ENGINEER'S NAME
Last FirsQ � �p Lic. No.�
CL.3
Engineer's Address
Engineer's E-mail Address
City
.31' �
� State F_ Zip F_ Telephoned
CONTRACTOR`S NAME/COMPANY MacDonald Electric INC Lic No. F43169 Class -10
Contractor's Address
Contractor's E-mail Address �� S
1141PomomaRD#Cc2wire25@gmail.com-
orona
State FA Zip 92882 Telephone 951-272-8,596
SETBACKS REAR
SETBACKS FRONT PERMIT NO. Off"®ZiI`
SETBACKS LEFT
//0�
SETBACKS RIGHT PLAN CHECK NO
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $