HomeMy WebLinkAboutPV2022-046 - Permit ApplicationFrirtForm Worksheet for Combo Building & Solar Permit Application o4"`pia
City of Newport Beach - Building Division a
ri. Comm'( r . Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rX.....Building j'—...Grading j'—;Drainage rElec FMech rPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood r" Fire r Liq F_ Landslide rN/A Floor Suite No
29 BRIDGEPORT ROAD, NEWPORT COAST, CA 92657 F_ I
of Work
New/Add SF 545 _ Remodel SFF— Garage/New/Add
OWNER'S NAME Last
Owner's Address
29 BRIDGEPORT ROAD
City NEWPORT COAST State CA
APPLICANT'S NAME Last
First (Janet
Owner's E-mail Address
Use Const Type VB j
# StoriesF' # Units (if Res)F7,
Valuation$ [27,550
Material/Labor
Zip 92657 Telephone 714-365-2582
First
Applicant's Address Applicant's E-mail Address
24 Executive Park suite 230 jesse@ocsolarinc.com
City Irvine State CA Zip 92614 Telephone 949.441.9386
ARCHITECT/DESIGNER'S NAME Last Same as Engineer First Lic. No.
Architect/Designer's Address Architect/Designer--mail Address
Smngineer
City �— State F_ Zip Telephoned
ENGINEER'S NAME Last Morales.... First Douglas Lic. No. C 69163.....
Engineer's Address Engineer's E-mail Address
24 Executive Park suite 230 info@ocsolarinc.com
City Irvine State CA Zip 92614 Telephone 949.427.8817
CONTRACTOR'S NAME/COMPANY Orange County Solar Lic. No.1023627.. ! Class B/C10
Contractor's Address Contractor's E-mail Address/
24 Executive Park suite 230 info@ocsolarinc.com
City Irvine State CA Zip 92614 Telephone 714.514.1517
SETBACKS REAR SETBACKS FRONT PERMIT NO. TOM— A-0
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. C7Gj�jZ•�Zp2fj
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $