HomeMy WebLinkAboutPV2022-0346 - Permit ApplicationNUM IN v
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 rDrainage rElec 1—Mech r Plum Cu vd cut! Cu Yd Fill)
Project Address (Not mailing address) r Flood r Fire r, Liq r, Landslide f__N/A Floor Suite No
807 Port Charles
of Work
New/Add SF[ Remodel SFF777777 Garage/New/Add ��
OWNER'S NAME Last
Owner's Address
First
Owner's E-mail Address
Use F` ConstType 1,.
# Stories[' # Units (if Res)[7
Valuation $ F
500
Material/Labor'
807 Port Charles g@Igcapital.us
City ewport Beach State Zi 2660 Telephone 949 463-450-45099
pF p F
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
49 N Main St ermits@infinitysolar.net
City range — State �— Zip 2868 Telephone 57-282 2245
ARCHITECT/DESIGNER'S NAME Lasti First Lic. No.
Architect/Designer's Address
City .,_ State
Architect/Designer's E-mail Address
Zip �— Telephone —
ENGINEER'S NAME Last anket _.._ First _.eal Lic No. 8856 .
Engineer's Address
608 W Fescue Lane, # 2 0 3
City keur d'Alene State
Engineer's E-mail Address
eal@ngwengineering.com
Zip P3T5 Telephone 951)972-0769
CONTRACTOR'S NAME/COMPANY LP Electric Integrations, Inc Lic No.. 24287 _._. Class _10
Contractor's Address
49 N Main St
.......
City range State FA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
erm its@i nfi n ityso la r. net
------------
Zip 2868 Telephone 57-282-2245
PERMIT NO, r rWti�' �Ib
PLAN CHECK NO. �G'WZZ•%��1y
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $