HomeMy WebLinkAboutPV2018-151 - Permit Application'Z 790 -8018 PV201$- 151
Priri4 Fore" Worksheet for Combo Buildings & Solar Permit Application
F" Comm'I rl Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F -Building I" -?Grading F -Drainage FxjElec j7Mech [7 Plum CuvdCut CuvdFill
Project Address (Not mailing address) F.I Flood [7Fire [-1 Liq l7 Landslide r -N/A Floor Suite No
518 Rockford PIF77 F
Description
8.910%1/ goof 11•.1 - 1 11• and Main Service .•- grade to
11
Use F7 Const Type
# Storiesn # Units (if Res)n
Valuations 15,000
New/Add SF 594 Remodel SFI Garage/New/Add Material/Labor
OWNER'S NAMELast First Mosen J
Salehi _ . ...
Owner's Address Owner's E-mail Address
above J
City Newport Beach State
F77 Zip F9i625 I Telephone 818-444-2020
APPLICANT'S NAME Last
Applicant's Address
5315 Whitsett Ave
City Valley Village State CA
First
Applicant's E-mail Address
aprilpermita@gmai1.com
Zip J
I
l_ f 91607 Telephone 323-301-0672
ARCHITECT/DESIGNER'S NAME Last l First Lic. No.
Architect/Designer's Address
....
777
7777
City__........._.._l State r
Architect/Designer's E-mail Address
Zip F � Telephoned
ENGINEER'S NAME Last FirstF777777Lic. No
Engineer's Address
_..... .............
. ....... ....._..__. .:.:...._........_l
City � ) State F 7
Engineer's E-mail Address
Zip Telephone
I
CONTRACTOR'S NAME/COMPANY NRG Clean Power Lic. No. F 0261687 Class F77
Contractor's Address
7012 Owe nsmouth Ave
City
i State
CA
Canoga Park
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
ZipF103 l Telephone[818-444-3981
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $