HomeMy WebLinkAboutPV2023-0158 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit A plication � ��
j— Comm'I r Residential City of Newport Beach -Building Division ( C�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL �<„�
rBuilding F_ Grading
(—Drainage Fx Elec r Mech
F— Plum CuydCut F CuvdFill F
Project Address (Not mailing address) i— Flood (— Fire i— Liq (— Landslide FN/A Floor Suite No
7 Riez
Description of Work
Use ConstTypeF
Stories[ # Units (if Res)F_
mount#
valuation $
New/Add SF�—
Remodel SFF—Garage/New/Add �
[42,920
Material/Labor
OWNER'S NAME
Last Gulaya
First Sunil
Owner's Address
Owner's E-mail Address
1 Riez
City Newport Beach
State CA
Zip 92657 Telephone 714-482-8406
APPLICANT'S NAME
Last Valencia
First Mary
Applicant's Address
Applicant's E-mail Address
10769 Woodside Ave., Ste 208
mary@designs.solar
City Santee
State CA
Zip 92071 Telephone 909-265-4096
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_
Zip F_ Telephoned
ENGINEER'S NAME
Last Hajihashemi
First Ali Lic. No. 884486
Engineer's Address
Engineer's E-mail Address
111 Rodeo
projects@ahzengineers.com
City Irvine
State CA
Zip 92602 Telephone 949-466-1544
CONTRACTOR'S NAME/COMPANY Blalock Electric & Solar Inc Lic. No. 915397 Class C-10
Contractor's Address
Contractor's E-mail Address
23905 Clinton Keith Rd., #114-216
info@blalock-electric.com
City Wildomar
State CA
Zip 92595 Telephone 951-440-0583
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. 1Y trvyL • D�CJ�
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. jVU 13 .y6ji;
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $