HomeMy WebLinkAboutPV2020-037 - Permit ApplicationPrint Form Works. feet for Combo Building & Solar Permit Application o�EW�Rm
j- Comm'l r Residential/ �(] City of Newport Beach - Building Division o� to To - v �7
1 `a I NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 11
[-Building r Grading rainage rElec F_Mech r Plum CuvdCut r cuvdFill
Project Address (Not mailing address) r Flood r Fire f Liq r Landslide FN/A Floor Suite No
901 Citrus Pl. Newport Beach 92660
1
Description of Work
Use Const Type
Installing (8) LG Electronic panels, System
size: 2.68kw
# StoriCO #Units (if Res)
model number: LG335N1C-V5
Valuation $ 7,906
Material/Labor 't(0
"""�!! 1 Lr
New/Add SF 147sgft Remodel SF
Garage/New/Add1
OWNER'S NAME Last Pomerantz
First Howard
Owner's Address
Owner's E-mail Address
901 Citrus P1
howard@howardp.com
city I Newport Beach State CA zip 92660 Telephone (949) 378-4303
APPLICANT'S NAME Last I Roman
First. Michelle
Applicant's Address
Applicant's E-mail Address
2727 S Croddy Way Suite B
michelle@certifiedroofingspecialists.net
City Santa Ana State CA
zip 92704 Telephone (714)668-0757
ARCHITECT/DESIGNER'S NAME Last
First F Lic. No. Fi
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
zip I Y -i Telephone
ENGINEER'S NAME Last
First Lic. No.1
Engineer's Address
Engineer's E-mail Address
City State
zip �— Telephonef --
CONTRACTOR'S NAME/COMPANY AG Electric
Lic. No.793786 Class K10
Contractor's Address
Contractor's E-mail Address
410 W Bishop St
michelle@certifiedroofingspecialists.net
city I Santa Ana State FCA
zip F 2701 Telephone (714)805-1163
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $