HomeMy WebLinkAboutPV2023-0094 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm] F_ Residential City of Newport Beach - Building Division � )_
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL a
F_Building r Grading
r-Drainage r Elec r Mech (— Plum Cu Yd Cut) Cu Yd Fill
Project Address (Not mailing address) f Flood f'-- Fire (u Liq (� Landslide FN/A Floor Suite No
F3 D Z P&/-k-
L, I 1
Description of Work
Use Const Type
/ r
b PV S,IL✓
# StoriesF # Units (if Res)
Valuation $
New/Add SF Z° (, k (,t%
(�
Remodel SF Garage/New/Add l y
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Material/Labor 6 r 6 6
OWNER'S NAME
Last j ^ First S� 4-
Owner's Address
•JJ Owner's E-mail Address
2oNL 5e(Al e
Ave
City " State FOF ._...,,., Zip ( Telephone 6 U - &j , Ccf 3 '-
APPLICANT'S NAME
Last Barba First Vin
Applicant's Address
Applicant's E-mail Address
933 Newhall St
vin@brightlifesolar.com
City Costa Mesa
State CA Zip 92627 Telephone 908-489-3933
ARCHITECT/DESIGNER'S NAME Last Same as applicant First I Lic. No.
Arch itect/Designer's Address
Architect/Designer's E-mail Address
City
State F Zip Telephone
ENGINEER'S NAME
Last Morales First Douglas Lic. No. 69163
Engineer's Address
Engineer's E-mail Address
5 Via Belmonte
City Rancho Santa Margarita State CA Zip 92688 Telephone 949-285-5104
CONTRACTOR'S NAME/COMPANY Bright Life Solar Lic. No. 0029267 Class B, C-46
Contractor's Address
Contractor's E-mail Address
same as applicant
City I
State I_ Zip �� Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. j�vlw�i _0btl
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.2?j,. D ✓�
USE ZONE
DEVELOPMENT NO'DU 11 ` C4101 PLAN CHECK FEES $