HomeMy WebLinkAboutPV2023-0445 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application Q41fW 0q>e
F_ Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(—Building r Grading rDrainage r Elec r Mech
r Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide [_N/A Floor Suite No
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Description of Work
Use Const Type
# Stories[ # Units (if Res)
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Material/Labor f7t
New/Add SF (lL F Remodel SF Gara a/New/Add
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OWNER'S NAME Last C"�(;,
First iy
Owner's Address
Owners E-mail Address
city State
Zip F— Telephone 9H q ---133 -fit'66
APPLICANT'S NAME Last Barba
First Pin
Applicant's Address
Applicant's E-mail Address
933 Newhall St
vin@brightlifesolar.com
City Costa Mesa State CA
Zip g2627 Telephone 908-489-3933
ARCHITECT/DESIGNER'S NAME Last Same as applicant
First F_ Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F—
Zip �— TelephoneF
ENGINEER'S NAME Last Morales
First Douglas Lic. No. 69163
Engineers Address
Engineers 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. 1029267 Class B, C-46
Contractors Address
Contractors E-mail Address
same as applicant
City State F___
ZipF TelephoneF`1
SETBACKS REAR SETBACKS FRONT
1�
PERMIT NO. 1 N tot
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. Z
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $