HomeMy WebLinkAboutPV2022-063 - Permit ApplicationPrint Form Wo eet for Combo Building & Solar rPermit Application o4�� �Rm
F Comm'I , Residential City of Newport Beach - Building Division v `1,n2_ OLQ?j o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G<��oaa"
jX',Building r Grading j—;Drainage Fl Elec r Mech r Plum Cu Yd cutF Cu Yd Fill F
Project Address (Not mailing address) r Flood r Fire F_ Liq andslide rN/A Floor Suite No
19 CHERRY HILLS LANE NEWPORT BEACH, CA 92660
of Work
New/Add SF 658 Remodel SFr Garage/New/Add
OWNER'S NAME Last
Owner's Address
19 CHERRY HILLS LANE
City NEWPORT BEACH State CA
APPLICANT'S NAME Last
Applicant's Address
24 Executive Park suite 230
City Irvine State CA
First John
Owners E-mail Address
Zip
First
UseConst Type VB I
F_7J
# Stories7l # Units (if Res)r
369-4932
Applicant's E-mail Address
jesse@ocsolarinc.com
I
Zip 92614 Telephone 949.441.9386
ARCHITECT/DESIGNER'S NAME Last Same as Engineer First F__ Lic. No. r 1
Architect/Designer's Address
Same as Engineer
City I _ State F
Architect/Designers E-mail Address
Zip— Telephone
ENGINEER'S NAME Last Morales.... First .Douglas ail Lic. No.FC 69163...
Engineer's Address
24 Executive Park suite 230
City Irvine State CA
Engineer's E-mail Address
info@ocsolarinc.com
Zip 92614 Telephone949 427.8817
CONTRACTOR'S NAME/COMPANY Orange County Solar Lic. No. 1023627 Class B/C10
Contractor's Address
124 Executive Park suite 230
City Irvine State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
info@ocsolarinc.com
Zip 92614 Telephone 714.514.1517
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PERMIT NO.
PLAN CHECK NO.
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