HomeMy WebLinkAboutPV2021-102 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Arnp ation
2l V1��E•�Rm
F" Corl FX_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF Sr1RMITTAI Jc,T'_�„�
rX'Bu!Iding F–Grading
rDrainage I—Elec F_Mech `Plum Cu Yd cut) Cu Yd Fill
Project Address (Not mailing address) F7 Flood F–, Fire r-" Liq F_ Landslide r_N/A Floor Suite No
1412 Nottingham Rd. �— F --
Description of Work
Use F—ConstType
installation; inew roo -moun ; ii ip ovo1 Ic sys em gli iii wl mo u es, Inv er # Stories # Units (if Res)[—
New/Add SF 236
Valuation $ 110,000
Remodel SFF Garage/New/Add ! Material/Labor
OWNER'S NAME
Last Jenkins First Christopher
Owner's Address
Owner's E-mail Address
1412 Nottingham Rd.
City Newport Beach
StateCA Zip 92660 Telephone (949) 463-4834
APPLICANT'S NAME
Last Foxx-Sarmiento First Melissa
Applicant's Address
Applicant's E-mail Address
2102 Alton Parkway, Suite B
mfoxxsarmiento@tesla.com
City Irvine
State CA Zip 92606 Telephone702-785-2998
ARCHITECT/DESIGNER'S NAME Last First F--'
Lic. No. F_
ArchitecUDesigner'sAddress
Architect/Designer's E-mail Address
City r---- .—
I State r--- Zip F_ Telephoner. -----
ENGINEER'S NAME
Last j First r–_--- Lic. No.f—_
Engineer's Address
Engineer's E-mail Address
City
State-- Zip --- -- Telephone — --
CONTRACTOR'S NAME/COMPANY Melissa Foxx-Sarmientofresla Energy Lic No. 888104 Class Flo
Contractor's Address
Contractors E-mail Address
2102 Alton Parkway, Suite B
mfoxxsarmiento@tesla.com
City Irvine
State CA Zip 92606 Telephone 702-785-2998
SETBACKS REAR
SETBACKS FRONT PERMIT NO, Or MR
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES 10"A