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HomeMy WebLinkAboutPV2020-059 - Permit ApplicationPrint f orm Worksheet for Combo Building & Solar Permit Application o4�" °Rrm F_ Comm'1 r Residential City of Newport Beach - Building Division ?Q1,310 - Ds°t NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c<„oa•' (XBuilding F-Gradingr'Drainage [Elec rMech r- Plum Cu Yd CutCuvdFill F' Project Address (Not mailing address) r Flood r Fire (— Liq F_ Landslide F_N/A Floor Suite No 43 Cambria Dr , Newport Beach , CA 92625—, Description of Work Use R3/U Const Type V-B-SPIJ # Stories # Units (if Resf 1 KOOf mounted soar w and I esla battery back up system. _ Valuation New/Add SF F_ Remodel SFF Gaya a/New/Add y', g Material/Labor bor F62,000 OWNER'S NAME Last Cooper First Jennifer & Will Owner's Address Owner's E-mail Address 1441 Sandcastle Dr City Corona Del Mar State CA Zip 92625 Telephone714-662-5565 APPLICANT'S NAME Last Rango First Michael Applicant's Address Applicant's E-mail Address 810 N Farrell mrango@hotpurpleenergy.com City Palm Springs State CA Zip 92262 Telephone 760-322-4433 ARCHITECT/DESIGNER'S NAME Last First Lic. No. Architect/Designer's Address Architect/Designees E-mail Address City _.... State F_ Zip F— Telephoned ENGINEER'S NAME Last ', Firsi F_' Lic. No.F_ Engineer's Address Engineer's E-mail Address City State F_ Zip I Telephone CONTRACTOR'S NAME/COMPANY Hot Purple Energy Lic. No. 940550 Class C46 Contractor's Address Contractor's E-mail Address 810 E Farrell Dr HotPurpleEnergy.com City Palm Springs State CA Zip 92262 Telephone760.322.4433 ?V W ZO - ti5i SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $