HomeMy WebLinkAboutPV2023-0176 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
d'wE.�m
f— Comm'I fX Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding rGrading
r:Drainage rElec rMech
r—Plum CuydCut CuvdFill F
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
333 Santa Ana Ave Newport Beach, CA, 92663 F_ F_
Description of Work
Use F—ConstType
# StoriesF # Units (if Res)[
Residential a io Or modules, rove
ers
Valuation $ F20'000
New/Add SF�� RemodelSFF— Garage/New/AddF_Material/Labor
OWNER'S NAME
Last Barienbrock
First Nadia
Owner's Address
Owner's E-mail Address
333 Santa Ana Ave
NadiaBarienbrock@gmail.com
City Newport Beach
State CA
Zip 92663 Telephone 714-300-3755
APPLICANTS NAME
Last Wares
First Emily
Applicant's Address
Applicant's E-mail Address
927 Calle Negocio STE D
ewares@enlightenedsolar.com
City San Clemente
L State CA
Zip 92673 Telephone 3854247341
ARCHITECT/DESIGNER'S NAME Last
First Lic. No. F__ ____—
Architect/Designer's Address
Architect/Designer's E-mail Address
City �_-�
,.. State F_
Zip 1 Telephoned
ENGINEER'S NAME
Last i
e First —i Lic. No.F —
Engineer's Address
Engineer's E-mail Address
City —`�
State F
Zip I Telephoner- ,
CONTRACTOR'S NAME/COMPANY
Enlightened Solar
Lic No. 1064613 Class C46
Contractor's Address
Contractors E-mail Address
927 Calle Negocio STE D
josh@enlightenedsolar.com
City San -Clemente _ -
!, State CA _ _ _
zip 92673 _ Telephone 4802213639
SETBACKS REAR
SETBACKS FRONT
PERMIT N0. wZ3 OI 76
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. NtOt3 • 8
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $