HomeMy WebLinkAboutX2021-0329 - Permit ApplicationPant Form <;0 Worksheet for Combo Building & Solar Permit Application I
Comm I iZ Residential �X� City of Newport Beach -Building DivisionY'Le.u_63�111 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL w'
XBuildin [_ Grading Drainage DK Elec [_ Mech [_ Plum cuYdCut F_ CuCuYdFill
Project Address (Not mailing address) [_ Flood (— Fire r' Liq [_ Landslide JINN/A Floor Suite No
Cvaillon, Newport Beach, CA 92657
F ( —
Description of Work
Use V7yonst Type I -
trying into existing system; x es a Batteries,
x Service u ane
attery ac up system
--
# Storiess # Units (if Res)
-__- - -
- --_
m
SF� Remodel SFFGara
a/New/AddF—Valuation
g Ad
Valuation$ F7OOONew/Add
$ r
OWNER'S NAME Last kao
First hristopher
Owner's Address
Owner's E-mail Address
Cvaillon
City lNewport Beach State A Zip 2657 TelephoneF_
APPLICANT'S NAME Last etrosyan
First ra
Applicant's Address
Applicant's E-mail Address
6238 B Raymer Street
ermitting@lasolargroup.com
Ciry an Nuys State FA
Zip 1406 Telephone 10-332-1186
ARCHITECT/DESIGNER'S NAME Last First' Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F_
Zip I Telephonel—
ENGINEER'S NAME Last
First F Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City �r State F—
Zip 1. Telephoner
CONTRACTOR'S NAME/COMPANY Solar Group
Lic. No. F74115 Class 10, C46
Contractor's Address
Contractor's E-mail Address
6238 B Raymer Street
ermitting@lasolargroup.com
City an Nuys State CA --
Zip 1406 Telephone 184838026
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. I
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $