HomeMy WebLinkAboutPV2023-0384 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 901010mr
City of Newpo t Beach -Building Division
F_ Comm'I F_ Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Building r Grading
rDrainage r Elec r Mech r Plum Cu Yd Cut Cu Yd Fill F_
Project Address (Not mailing address) r Flood r Fire r Liq F_ Landslide rN/A Floor Suite No
3 3� �-� I A^�nlr2acQ Dr q 2 1 63 F- F__
Description of Work
Use F—, ConstType
# Storie #/Units# Units (if Res)Res)
QI/
no i✓Je/{vS Z�S w col
f-Vc �s� . 3-2
\4-vj,GCOD xa- AtioD —
Valuation
Material/Laa bor
C
New/Add SF-3,ZtGW
RemodelSFF— Garage/New/Add
OWNER'S NAME
Last G 16YI-0, �w; ��R�s First
Owner's Address
Owner's E-mail Address
OL
City
State F_ Zip F- TelephoneF-"' � ACL 17_-J j
APPLICANT'S NAME
Last Barba First Vin
Applicant's Address
Applicant's E-mail Address
933 Newhall St
vin@brightlifesolar.com
City Costa Mesa
State CA Zip 92627 Telephone 908-489-3933
ARCHITECT/DESIGNER'S NAME Last Same as applicant First F_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F_ Telephone V � V1 &_1_V `
ENGINEER'S NAME
Last Morales First Pouglas Lic. No.69163
Engineer's Address
Engineer's E-mail Address
5 Via Belmonte
City Rancho Santa Margarita State CA Zip 92688 Telephone 949-285-5104
CONTRACTOR'S NAME/COMPANY Bright Life Solar Lic. No. 1029267 Class FC-46
Contractor's Address
Contractor's E-mail Address
same as applicant
City I
State Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. ,p y /qZ�j • d ZJ S�
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ , �'