HomeMy WebLinkAboutPV2021-226 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application orEWPo
Comm'I 6Z Residential City of Newport Beach - Building Division a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_, Grading rDrainage OZ',Elec rMechPlum cuvdcut cuvdFill ,
Project Address (Not mailing address) C q � Landslide N/A�
' Flood Fire Li L r Floor Suite No
1227 Highland Drive Newport Beach, CA 0
Description of Work Use F—ConstType F_
Insta117.77kW solar
# StoriesF # Units (if Res)-
Valuation$ 'UtJv
New/Add SFF Remodel SF� Garage/New/Add Material/Labor)
OWNER'S NAME Last Meserve First Barbara
Owner's Address Owner's E-mail Address
1227 Highland Drive bmeserve1227@gmaii.com
City Newport Beach State CA Zip 92660 Telephone949-278-0283
APPLICANT'S NAME Last
Applicant's Address
3125 Limerick Lane
City Costa Mesa State CA
First
Applicant's E-mail Address
eddie@repoweroc.com
Zip 92626 Telephone 714-910-2906
ARCHITECT/DESIGNER'S NAME Last First
Lic. No. �—
Architect/Designer's Address
City I State I
Architect/Designer's E-mail Address
Zip Telephone)
ENGINEER'S NAME Last First F' Lic. No.F
Engineer's Address
City State
Engineer's E-mail Address
Zip �— TelephoneF�
CONTRACTOR'S NAME/COMPANY Green Mile Energy Lic. No. 1035512 Class P,0
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@greenmileenergy.net
Zip 91501 Telephone 818 480-8273
PERMIT NO. Z,C/V —
PLAN CHECK NO. - i_ __7
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $