HomeMy WebLinkAboutPV2022-133 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application aF_ Comm I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F-Building F_ Grading
(-;Drainage rElec F_Mech
rj Plum Cu vd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood
F_ Fire F_ Liq I - Landslide FN/AFloor` Suite No
2301E 15th st.
I
Description of Work
Use SFR Const Type OOD
Install 3Kw micro -inverter solar system to new home build out.
# Stories2F # Units (if Res)
%�/ 1)
New/Add SF -
Remodel SF � Garage/New/Add �—
Valuation$
Material/Labor 000.00
OWNER'S NAME
Last Hatziris
First kasili
Owner's Address
Owner's E-mail Address
301 E 15th st.
asili123@y2hoo.com
City Newport Beach
State CA
Zip 92663 Telephone310-456-4493
APPLICANT'S NAME
Last Liarakos
First Peorge
Applicant's Address
Applicant's E-mail Address
895 Palo Verde Ave
eorge@wiring-solutions.com
City Long Beach
State CA
Zip 0815 Telephone 62-682-6111
ARCHITECT/DESIGNER'S NAME Last �, First F Lic. No.
Architect/Designer's Address
Arch itect/Designer's E-mail Address
City
State F
Zip F TelephoneF—
ENGINEER'S NAME
Last
First Lic No.F—-
Engineer's Address
Engineers E-mail Address
City
State F___
Zip F__7 Telephoner
CONTRACTOR'S NAME/COMPANY irmg Solutions Electrical Lic No. 0048508 10
Contractor's Address
Q�JClass
ContractorI's E-mail Address it,
895 Palo Verde Ave
eorge@wiring-solutions.com
City Long Beach
State CA
Zip 0815 Telephone 562-682-6111
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $