HomeMy WebLinkAboutPV2019-043 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application `M
[- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
f - Building[- Grading [-Drainage [- Elec F Mach
F Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) I- Flood
[- Fire [- Liq (- Landslide [-N/A Floor Suite No
Del 92625
3610 Blue6tc�TC rona Mar
Description of Work
Use Const Type �—
# Stories # Units (if Res)[_r
f.:) KW TOOT top pv Installation and I utility, Interactive
Valuation 5
New/Add SF F_Remodel SFF Garage/New/Add I
Material/Labor 525,000.00
OWNER'S NAME Last Namini
First Toofan.
Owner's Address
Owner's E-mail Address
3610 Blue Sky
City Corona Del Mar State CA
Zip 92625 TelephoneF—
APPLICANT'S NAME Last Alvarez
First Zeke
Applicant's Address
Applicant's E-mail Address
73820 Dinah Shore Dr.
zeke@planetsolar.com
City Palm Desert State CA
Zip 92211 Telephone (760)625-6716
ARCHITECT/DESIGNER'S NAME Last
First I — Lic. No. I
ArchitecttOesigner's Address
Architect/Designer's E-mail Address
City I— State F_
Zip F_ Telephoned
ENGINEER'S NAME Last
FirstF Lic. No.1—
Engineer's Address
Engineer's E-mail Address
City State F—
Zip �— TelephoneF—
CONTRACTOR'S NAME/COMPANY)
Lic. No. 938313 ClassB,C-46
Planet Solar Inc
Contractor's Address
Contractor's E-mail Address
73820 Dinah Shore Dr.
zekeQplanetsolar.com
City Palm Desert State CA
Zip 92211 Telephone (760)625-6716
SETBACKS FRONT
PERMIT NO. YV ��J
SETBACKS REAR
1
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. e j %; 01 ' t
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
�fi y y ® zv ---