HomeMy WebLinkAboutPV2021-154 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Per itficathIn
r Comm'I r Residential City of Newport Beach - Building Divisio Zz .��04
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB ITTAL
I -Building r Grading rDrainage r Elec r!I j -
Mech Plum Cu Yd Cut Cu Yd Fill I -
Project Address (Not mailing address) [—IFloodr Fire r, Liq r Landslide rN/A Floor Suite No
430 1/2 Begonia Ave. Corona Del Mar, CA 92625 F
Description of Work Use FI Const Type F
(N) 2 OA Load Center. (g�y<t m.9 Panels, 1 Inverter.�0otimizers. (N) 30A AC Di< onnPrt #Stories #Units (if Res) ,
---------- ------ - ----- - ------------ ------ _.. - : Valuation $
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New/Add SF Remodel SFF Garage/New/Add Material/Labor
OWNER'S NAME Last (Harwell First Judith & Webb
Owner's Address Owner's E-mail Address
430 1/2 Begonia Ave
_Pr - -_ P -
City Corona Del Mar State CA J I � 0
Zi 90670 Telephone 408-309- 017
APPLICANT'S NAME Last
Applicant's Address
107 11 13 Norwalk Blvd.
City Santa Fe Springs State CA
First
Applicant's E-mail Address
santo.andrews@sempersolaris.com
Zip 90670 Telephone 714-404-5063
ARCHITECT/DESIGNER'S NAME Last
i First F Lic. No.
Architect/Designer's Address
-- - _. ---------------- --1
City State F 7
Architect/Designer's E-mail Address
Zip�— Telephone—
ENGINEER'S NAME Last I First Lic. No.
Engineer's Address
_. ___ .__. .- -- -------_ --.-----._---__I
City State
Engineer's E-mail Address
Zip I J TelephoneF77777
CONTRACTOR'S NAME/,COMPANYLic. No. 978152 Class B,C10,
Semper Solarisjj
Contractor's Address
10713 Norwalk Blvd.
City Santa Fe Springs State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
Zip 90670 Telephone 619-715-4054
PERMIT NO. N 11/,t )/ , I —
PLAN CHECK NO.
PLAN CHECK FEES $