HomeMy WebLinkAboutPV2021-226 - Permit Application (2)?V?/off-LOW
Worksheet for Combo Building & Solar Permit Application
r Comm'] 0? Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
f7Building r Grading r -Drainage Q Elec F Mech F7 Plum CuvdCut CuvdFill F
Project Address (Not mailing address) r Flood r` Fire r Liq r Landslide f N/A Floor Suite No
1227 Highland Drive Newport Beach, CA_92V
:ription of Work / l/ Use F_ Const Type
7.77kW solar
# Stories7 # Units (if Res)F_
_,....,._- F, (Valuation $ Fle, New/Add SFRemodel SFGarage/New/Add Material/Labor
OWNER'S NAME Last
Owner's Address
1227 Highland Drive
City Newport Beach State CA
APPLICANT'S NAME Last
Applicant's Address
3125 Limerick Lane
City Costa Mesa State CA
First Barbara
Owner's E-mail Address
bmeserve 1227@g mail.com
Zip
First
Applicant's E-mail Address
eddie@repoweroc.com
Zip 92626 Telephone 14-910-2906
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. F_
Architect/Designer's Address
City I State
Architect/Designer's E-mail Address
Zip F_ Telephonel—
ENGINEER'S NAME Last First 7 Lic. No.
Engineer's Address
City State
Engineer's E-mail Address
Zip F Telephone
—
CONTRACTOR'S NAME/COMPANY Green Mile Energy Lic. No. 1035512 Class F10
Contractor's Address
569 E. Tujunga #G
City Burbank State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
robert@g reen m i leenergy. net
Zip 91501 Telephone 818-480-8273
PERMIT NO. v C—O(/1,. r(='i
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $