HomeMy WebLinkAboutPV2024-0020 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
[- Comm I [- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-Building [-Grading
[-Drainage [-Elec rMech
[—Plum cuYdCut CuYdFill F_
Project Address (Not mailing address) [- Flood
r Fire [- Liq r Landslide [-N/A Floor Suite No
Pj Z.G6-3
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Description of Work
Use F—ConstType F_
# StoriesF # Units (if Res)F_
Valuation
PV ✓,)dClle S �` '' a-r (.ro to �c(�'i-t!S
1
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1y /0o.P.
New/Add SF �• 6 K W
Remodel SF Gara
g a/New/AddF—
$ lk�
Material/Labor
OWNER'S NAME
Last 5�• nD!
y I
First `,G�,1110A
Owner's Address
Owner's E-mail Address
9( B 5t n,l
2J
City Ne t.g1t _ VCl+.c�..._ __ _ State I 5fi
Zip rj Z663 Telephone q Ct_ q 6-5 _ Z-351
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 F_ Lic. No. F_
Architect/Designer s Address
Architect/Designer's E-mail Address
city
State F_
Zip F TelephoneF
ENGINEER'S NAME
Last Morales
First Pouglas Lic. No. 69163
Engineer's Address
Engineers E-mail Address
5 Via Belmonte
city Rancho Santa Margarita State CA
Zip 92688 'Felephone 949-285-5104
CONTRACTOR'S NAME/COMPANY Bright Life Solar
Lic. No. 1029267 Class B, C-46
Contractors Address
Contractor's E-mail Address
same as applicant
City
State F___
Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT
PERMIT NO?VZMY- OOq O
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.ft
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $