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HomeMy WebLinkAboutPV2022-049 - Permit ApplicationfV_ --Oq ■ Worksheet for Combo Building & Solar Permit Application F- Comm'I FxResidential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL fX-5 Building i Grading r -:Drainage I -X; Elec r Mech r7Plum Cu Yd cut Cu Yd Fal Project Address (Not mailing address) r_Flood r Fire rl Liq r- Landslide F -..N/A Floor Suite No 1954 Port Ramsgate, Newport Beach CA� of Work 12) 395 V 4.74 KW to an existing system. New/Add SF Remodel SF Garage/New/Add F Use Const Type # Stories # Units (if Res) Valuation $ 12,500 Material/Labor i APPLICANT'S NAME Last ares First Emily Applicant's Address 27 Calle Negocio Unit D City San Clemente State CA Applicant's E-mail Address �wares@enlightenedsolar.com Zip 92673 Telephone 385-424-7341 ARCHITECT/DESIGNER'S NAME Last I First Lic. No. Architect/Designer's Address City State Architect/Designer's E-mail Address i Zip Telephonerisv ENGINEER'S NAME Last First F Lic No.1 Engineer's Address Engineer's E-mail Address City State------ Zip Telephone CONTRACTOR'S NAME/COMPANY Enlightened Solar Lic No. 1064613 Class C-46 _ Contractor's Address 927 Calle Negocio Unit D 11 City San Clemente State CA SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT Contractor's E-mail Address Iwo @en l ig htenedsol ar.com Zip 92673 Telephone 949-427-8400 PERMIT NO. 0" PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $