HomeMy WebLinkAboutXR2023-1015 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4�"°gym
F_ Comm'I [-Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL " d
[-Building [- Grading
(-Drainage [- Elec [- Mech [- Plum cardCut cuvdFill F
Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
CT�M g262,4;— F F
Description of Work
Use �_ Contt Type F-
# Stories #Units (if Res)
Valuation$ 33 (e'�
3 S Pv
rbsin. Z, bu+f<ries
New/Add SF I S. 2. Kw
Remodel SF�— Garage/New/Add
Material/Labor IS- Y- L
b. tftlr
OWNER'S NAME
Last �itC���S �a l..e he4 CS First
rti
Owner's Address
Owners E-mail Address
1601 It Cal+[-
C,
City I C, DM—
State I `-'T Zip TelephoneF
�First
APPLICANT'S NAME
Last Barba Vein
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/Designers Address
Architect/Designer's E-mail Address
City
State F— Zip F Telephoned
ENGINEER'S NAME
Last Morales First Douglas Lic. No. 69163
Engineers Address
Engineer's E-mail Address
5 Via 8elmonte
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 F— Zip Telephone�—
I
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SETBACKS REAR
SETBACKS FRONT PERMIT NO. gy
SETBACKS LEFT
pC
SETBACKS RIGHT PLAN CHECK NO. P C ZD_Z 3"l/ b ! 1
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $