HomeMy WebLinkAboutPV2018-147 - Permit ApplicationI!_ Print Form.'.—.. Worksheet for Combo Building & Solar Permit Application
F"', Comm'I [57i Residential City of Newport Beach - Building Division PVX160- !1!7
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FBuilding r7 Grading
Address (Not
Seashore Drive
7175nq
f—,Drainage rx—JElec [71YIech r—
I Plum Cu Yd Cut CuYdF1II
(System B) 2.88KW 8 modules with 1 inverter.
[7 Flood [7 Fire r—j Liq r Landslide
FN/A Floor Suite No
77 F77
Use 1-i CDnst Type F77
# Storles[7 # Units (if Res)F
ivajuarion p
New/Add SF F77777 Remodel SFF— I Garage/New/Add Mated 15000
OWNER'S NAME Last
Owner's Address
First
Owner's E-mail Address
J!Above
City State F777 zip F I Telephone [81 8-444-2020
APPLICANT'S NAME Last
Applicant's Address
5315 Whitse I t I t A I ve I
cityyalley Village State CA
l 1 11
First
Applicant's E-mail Address
la p - r . if .. p I a .. r - m it s @gmail 1. com
Zip [91607 1 Telephone [3T3-301 -0-672 7
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
ArchitectlDesigner's Address
State
City
ArchitectlDesigner's E-mail Address
Zip F_Telephone F777771
ENGINEER'S NAME Last Martin
First Loyd Lic. No. C58724
Engineer's Address
9924 Universal Blvd #224-406
cityFr State FL
Engineer's E-mail Address
... ..... .. . ......
Zip [32131Telephone[31 0-464-1804
CONTRACTOR'S NAME/COMPANY[Lic. No. 02616T7 Class N�Iean Power F1 FBI.
Contractor's Address
17012 Owensmouth Ave
City Camoga, Park State F7
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE
DEVELOPMENT NO
,jdA Y %Uffe,�
Contractor's E-mail Address
Zip 191303
PERMIT NO.
PLAN CHECK
PLAN CHECK FEES $
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