HomeMy WebLinkAboutX2021-2835 - Permit ApplicationX2021- 29 Z_�
PrinrForm Worksheet for Combo Building & Solar Permit Application /4�
F- Comm'I rl Residential City of Newport Beach - Building Division [5
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 0
[-Building [-Grading [-Drainage rj Elec r-Mech [-Plum Cu Yd cut] Cu Yd Fill
r q [- Floor Suite No
oject Address (Not mailing address) C; Flood r, Fire Li Landslide rN/A
Coral Reef, Newport Coast, CA 92657
ption of Work I Use Const Type
sla Powerwall Battery Backupi(FCS) (N)Te<�n C-tpwav )OOA. (N) 700A I oad
(N) ESS Disconnect. # Stories # Units (if Res)
Valuation $
New/AddSFF Remodel SFF Garage/New/Add Material/La
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
38 Coral Reef
City Newport Coast State CA] Zip 192657 Telephone[714-932-8238
APPLICANT'S NAME Last
Applicant's Address
10713 Norwalk Blvd.
City Santa Fe Springs State CA
First ]Santo
Applicant's E-mail Address
isanto.andrews@sempersolaris.com
Zip 90670 Telephone 714-404-5063
ARCHITECT/DESIGNER'S NAME Last
Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
II
City State F Zip—I Telephone!
ENGINEER'S NAME Last First Lic. No.(�
Engineer's Address
City �— - _ State
Engineer's E-mail Address
zip Telephone
CONTRACTOR'S NAME/COMPANY Semper Solaris Lic. No. 978152 Class B,C10,b(!
Contractor's Address
10713 Norwalk Blvd. I
City Santa Fe Springs StateCA
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
Contractor's E-mail Address
Zip 90670 Telephone 619-715-4054l
PERMIT NO. /V/,U/A e
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $