HomeMy WebLinkAboutPV2021-171 - Permit ApplicationpVlUZl-ICI
Worksheet for Combo Building & Solar Permit Application
❑ Comml 5Z Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[]Building ❑Grading ❑Drainage 5Z Elec ❑Mech El Plum cu vdcutF cu vd Fill
Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No
301 Canal Street Newport Beach, CA 92663 �—
Description of Work
400-Watt Solar Electrical Power System Use ConstType
# StoriesF # Units (if Res)
Valuation $ $20,480
New/Add SFr —i Remodel SFF_ Garage/New/Add F-- Material/labor
OWNER'S NAME Last pacobson First Feremy
Owner's Address Owners E-mail Address
01 Canal Street pfacobson@gmail.com
City Newport Beach State �— Zip 2663 Telephone 9-689-0777
APPLICANT'S NAME Last Curry First Matthew
Applicant's Address Applicant's E-mail Address
2565B Golden Lantern #484 mcurry@pbcdinc.com
City Paris Point State CA Zip 92675 Telephone 9-394-7783
ARCHITECT/DESIGNER'S NAME Last Firstr Liu No.
ArchitectlDesignees Address Architect/Designees E-mail Address
City I State F Zip F—TelephoneF
ENGINEER'S NAME Last First f— Lic. No.j_
Engineer's Address Engineers E-mail Address
City State F_ Zip F— TelephoneF_
CONTRACTOR'S NAME/COMPANY PBC Development, Inc Lic. No. 806350 Class
Contractors Address Contractors E-mail Address
2565B Golden Lantern #484 mcurry@pbodinc.com
City Dana Point State CA Zip 2629 Telephone 49-394-7783
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. .Z t O 1 U 4. I
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $