HomeMy WebLinkAboutPV2021-006 - Permit ApplicationRrfnt Form Worksheet for Combo Building & Solar Permit Application
�6Wi'ORf
Comm'I fX Residential
City of Newport Beach - Building Division pv zo21-ppb
NOTE: PLAN
CHECK FEES DUE AT TIME OF SUBMITTAL 1'
Building f -Grading
FDrainage F`Elec rMech f- lum CuvdcutF—Cu Yd Fill
oject Address (Not mailing address) C Flood f Fire F_ Liq F Landslide rN/A Floor
FDescription
Suite No
Cherry Hills Ln Newport Beach CA 92660
of Work
Use F Const Type --
• o r wer ene a mg au I y oar ys e
# Stories # Units (if Res)r�
New/Add SFr --- --'
Remodel SFr-------- Garage/New/Add f -- --- Valuation $ $29 886.00
Material/Labor '
ez -L�-
Last Tobin
First
Paul
_...
N
F
Owner's E-mail Address
paulxtobm@gma Cocom
ch
State CA Zip 92660 Telephone (949) 303-5637
APPLICANT'S NAME
Last
Palencia First
_
Jason
Applicant's Address
- --
Applicant's E-mail Address
27
Calle Negocio (Suite D)
jpalencia@en l ig htenedsolar. com
City San Clemente
State CA Zip 92673 Telephone 951-534-6073
ARCHITECT/DESIGNER'S NAME
Last First r---------
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City _...
State I---__--_ Zip
..--__..-_ r.. .Telephone--_.._..-._.
ENGINEER'S NAME
Last First Lic No.r_—.—.__.-_
Engineer's Address
Engineer's E-mail Address
City
State r Zip r—_—_- Telephone_____._.-_
CONTRACTOR'S NAME/COMPANY Enlightened Solar Lic No. 1064613 Class C46
Contractor's Address
Contractor's E-mail Address
27 Calle Negocio (Suite D)
- -
jpalencia@enlightenedsolar com
City IrSan Clemente
�' State CA Zip 92673 Telephone951-534-6073
SETBACKS REAR
SETBACKS FRONT !X IZ` , on
PERMIT NO. r V
SETBACKS LEFT
USE
SETBACKS RIGHT PLAN CHECK NO. QCy j'1 _ 7L 'Z
ZONE
DEVELOPMENT NO PLAN CHECK FEES $