HomeMy WebLinkAboutPV2020-126 - Permit ApplicationPiint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division o
r Comm'I (x. Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL-
j—Building F_ Grading
FDrainage F Elec F -I Mech [—Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) FI Flood F- Fire F` Liq F_ Landslide FN/A Floor Suite No
44 White Water Dr.
t
Description of Work
Use Const Type F_
# Stories # Units (if Res)
installation of a roof mounted
module Pv system. No service upgrade
__...
._... r_ .......
Valuation $ F21,01I
Material/Labor
New/Add SFIFRemodel
I
SF Gara a/New/Add
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OWNER'S NAME
Last Green First Shawn
Owner's Address
Owner's E-mail Address
44 White Water Dr.
Cary Corona del Mar
State CA Zi p 9 --2625 714 Telephone -315-6075
APPLICANT'S NAME
Last Valencia First Mary
Applicant's Address
Applicant's E-mail Address
10800 Hole Ave., Ste. 9
mary@designs.solar
City Riverside
State CA Zip 92505 Telephone 951-235-0113
ARCHITECT/DESIGNER'S NAME Last First Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City _ _..
State r— Zip F_ Telephone
ENGINEER'S NAME
Last McPherson Engineering First FRyan Lic. No.McPherson
Engineer's Address
Engineer's E-mail Address
6169 Sunny Circle
ryan@mcpherson,engineerng
City Mira Loma
State CA Zip 91752 Telephone909-569-2244
CONTRACTOR'S NAME/COMPANY Blalock Electric & Solar Inc I Lic No. 9Class C-
15397 10
Contractor's Address
Contractor's E-mail Address
31887 Corydon St., Ste. 130
info@blalock-electric.com
City
Cd Lake Elsinore
State CA Zip 92530 Telephone 951-762-4638
SETBACKS REAR
SETBACKS FRONT PERMIT N0. PV 0 ZO- 17-G9
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK N0. 1,7y- zozo
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $