HomeMy WebLinkAboutPV2021-012 - Permit Application9VU11- 012-
Prr jnt Form, a
Worksheet for Combo Building & Solar Permit Application
[j Comm1 [i Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL�5MM
;Building [Grading r. -Drainage jXlElec [Meth [i plum CuvdcutF— CuvdFill
Project Address (Not mailing address) [I Flood i-1 Fire [' Liq [i Landslide [N/A Floor Suite No
706 Poinsettia Ave, Corona Del Mar, CA F—
Description of Work
Solar and Battery Storage install Use F Const Type I
# Stories #Units (if Res)
New/Add SFP_F—
' Remodel SF, Valuation
Garage/New/Add �— Material/La
OWNER'S NAME
Last Ford First Henry 1 "'
Owner's Address
Owner's E-mail Address
706 Poinsettia Ave ahj@epxgrp.com
City Corona Del Mar StateCA r--
Zip 92625 1 Teleohonel
APPLICANT'S NAME Last [Zeeb First Stephen
Applicant's Address Applicant's E-mail Address
3223 Business Park Dr eeb@epxgrp.com
Zip 2590 Telephone951-990-2471
Ciry emecula _ �, State CA �' �� -
ARCHITECT/DESIGNER'S NAME Last
First Architect/Designer's Address
Architect/Designer's E��� Lic. No. � �
City r—_ State F_Zip Telephone
—
ENGINEER'S NAME Last I FirstLic. No.
F
Engineer's Address Engineer's E-mail Address
City F --
State F_ zip F Telephone
. _.._.......
CONTRACTOR'S NAME/COMPANY Revved Energy dba EPX Group Lic. No. 1065228 Class C10
Contractor's Address Contractor's E-mail Address
3223 Business Park eeb@epxgrp.com
City emecula state CA Zip 92590 Telephone 951-990-2471
Y1Wd 1. &&40,&
SETBACKS REAR SETBACKS FRONT PERMIT NO. y •
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0.
USE ZONE DEVELOPMENT N Q 146cli
CHECK FEES $