HomeMy WebLinkAboutPV2021-139 - Permit ApplicationpvzoLl \ 3 ei
Print Form Worksheet for Building Combo Permit Application SR
r Comm'1 (K Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
r–Building F_ Grading r–Drainage rElec r–Mech rPlum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address)
Floor Suite No
1701 Orchard Dr
F ( —
Description of Work
V IV -4
Use
linstall (14) sniarpanals model #- I W70NIC-A6 Install (3 4) anphase
inverters Sys si.., r I RkW —
# Stories 7 # Units (if Res)F_
Valuation$
New/Add SFF Remodel SF 273
Garage/New/Add F
Material/Labor 3
OWNER'S NAME Last Wilkens
First Michelle
Owner's Address
Owner's E-mail Address
1701 Orchard Dr
City Newport Beach State CA Zip 92660 Telephone(949) 412-0430
APPLICANT'S NAME Last Vasquez
First Ashly
Applicant's Address
Applicant's E-mail Address
City State �—
Zip TelephoneF_
ARCHITE /DESIGNER'S NAME La ')
�%) - Fi t Lic. No. F—
q;�
J1 `J ��Ltl vArchitecUDesigner's
ArchitecUDe '
aer!s.Addres
E-mail Address
City State F_
Zip r Telephone[
ENGINEER'S NAME Last
First F_ Lic. No.r_
Engineer's Address
Engineer's E-mail Address
City State F_
Zip [— Telephoned
CONTRACTOR'S NAME/COMPANY AG Electric
Lic. No. 793786 Class Flo
Contractor's Address
Contractor's E-mail Address
2727 S Croddy Way Suite B
age]ectdcinfol@gmail.com
City Santa Ana State CA
Zip 92704 Telephone (714) 668-0757
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK No.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $