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HomeMy WebLinkAboutPV2023-0100 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm'I (x Residential City of Newport Beach - Building DivisionI NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rxBuilding r Grading rDrainage r Elec r— Mech r Plum cuvdCut l CuYdFill Project Address (Not mailing address) r Flood r Fire r Liq r— Landslide I —N/A Floor Suite No 500 Fullerton Ave, Newport Beach, CA 92663 I F— Description of Work Use f R Const Type VB # Stories #Units (if Res) PV Sub Panel. Valuation $ 18225 Material/Labor New/Add SF�— Remodel SFF_ Garage/New/Add Ir OWNER'S NAME Last JABER FAMILY TRUST First GEORGE JABER Owner's Address Owner's E-mail Address 500 Fullerton Ave george@dojainc.com City Newport Beach State CA Zip 92663 Telephone (626) 926-0993 APPLICANT'S NAME Last Ara First Petrosyan Applicant's Address Applicant's E-mail Address 520 Library St permitting@lasolargroup.com City San Fernando State CA Zip 91340 Telephone 818-483-8026 ARCHITECT/DESIGNER'S NAME Last �— First F_ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City I— State F — Zip I TelephoneF ENGINEER'S NAME Last �— First F Lit. No.r Engineer's Address Engineer's E-mail Address City � State I Zip Telephone F_ CONTRACTOR'S NAME/COMPANY LA Solar Group Lic. No. 974115 Class Fcloct Contractor's Address Contractor's E-mail Address 520 Library st, permitting@lasolargroup.com City San Fernando State CA Zip 91340 Telephone 818-483-8026 T� -' 3 (-)C-(- N 33 I SETBACKS REAR SETBACKS FRONT PERMIT NO, SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $