HomeMy WebLinkAboutPV2021-260 - Permit Application'j9V 2 0 2.1-- 2 Co 2_6j AA0 ,tirrZr-C:=70
Print Form Worksheet for Combo Building & Solar Permit Application oF�E
Comm']FJ [ Residential City of Newport Beach - Building Division E
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[Building � Grading [;Drainage [X7 Elec [j Mech �I plum Cu
Cu Yd Fill
Project Address (Not mailing address) E_-, r Fire F] Liq rj Landslide 1 N/A Floor Suite No
29 Montecito Drive Corona Del Mar, CA 92625
Description of Work
Use R3/U Const Type F7
10 1111 1
B —
o1, 11 1un 111 1 111 m u # Stories[? II # Units (if Res)
New/Add SF Remodel SF Valuation $
�----- ---� 20,000 --------'
l—_--.--_--� � � Garage/New/Add �— Material/Labor
OWNER'S NAME LastFirst
Storm
— Kim —_ —
Owner's Address -- J
Owner's E-mail Address
29 Montecito Drive
---------------_Heil@longmanconstruction.com
---- -
City Corona Del Mar Statec- Zip 92625 Telephone949-722-7711
APPLICANT'S NAME Last Ferketic
First Mike
Applicant's Address
-- - ----------
Applicant's E-mail Address
151 Kalmus Drive - Suite L2
- - --- — ----I
-- - - -
imike.ferketic@peakpowerus.com
City
Costa Mesa
State
CA
__—
-
Zip 92626--- f Telephoner
ARCHITECT/DESIGNER'S NAME
Last �— First
F J LArchitect/Designer's
Architect/Designer's Address
_Archite ct(Designer's E-mail Address
Zip
��-----------:::- ---- ---- ----- - ----------�
r
I Telephone
I
—
City
- _ _ J State
_---------
ENGINEER'S NAME Last lWanket
I FirstNeal Lic. No. 68856
Engineer's Address
Engineer's E-mail Address
1608 W Fescue Lane, #203
1 -- -
neat@ngwengineering.com
City Coeur dAlene State
�,
ID
Zip
---- --- -------------
83815 Telephone 951-972 0769
CONTRACTOR'S NAME/COMPANY peak Power Solutions Lic. No. 973253 - Class f B
Contractor's Address Contractor's E-mail Address
151 Kalmus Drive - Suite L2
info@peakpowerus.com
-- -- @peakpowerus.com
City Costa Mesa
J State CA Zip 92626 Telephone 714 258 3900
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $
-2011 u -?