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HomeMy WebLinkAboutPV2023-0600 - Permit Application (3)Print Form Worksheet for Combo Building & Solar Permit Application o4 `"°a e City of Newport Beach - Building Division Comm'] residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r Grading rDrainage r Elec r Mech r Plum CuYdCut CuYdFill Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No ZS/S r31ut (�J4-}er ©r �17.6zS � ( Description of Work Use F_ ConstType pStoriesF— #FUnits (if Res)F— iL PJ r- A-4s / rM� AMc^ l-n'*!4dS -(-It. �k� %10 nDf' I 5kW y JJ Valuation $ Y� r rmu ' i'✓ New/Add SF ",J l � pj iL (7t/ Remodel SF F— Garage/New/Add 7— Material/Labor OWNER'S NAME Last K.jS(,�e� First SGM4a. Owner's Address Owner's E-mail Address City State Zip F— Telephone J14 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 Lic. No. F ArchitecUDesigner's Address Architect/Designer's E-mail Address City State F_ Zip F_ TelephoneF— 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. 1029267 Class B, C-46 Contractor's Address Contractor's E-mail Address same as applicant City State 1 Zip F Telephone F_ q�Lqq [ /� SETBACKS FRONT NO. VOL?� 0660 SETBACKS REAR PERMIT I SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1 C2OL3� 288 USE ZONE /y� DEVELOPMENT NO 1 p US21' W7S PLAN CHECK FEES $