HomeMy WebLinkAboutPV2021-117 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I (X Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI fTALj� t
[X Building r Grading r-0
ramage r Elec
Address
Prospect St. Newport Bea CA
A
'rip of work
New/Add SFF_—
OWNER'S NAME
Mech r plum
r Flood r Fire r Liq
Remodel SF�-
Last
. 1a1111 Cu Yd Fill
r Landslide rN/A Floor
(Suite No
L
Const Type
s # Units (if Res)s
Garage/New/Add— or
Owner's Address - -- First jScott ------"—
336 Prospect St. Owner's E-mail Address
City New — scott@havendevgroupcom
port Beach CA State CA
Zip F92663 Telephone 949-677-0322
APPLICANT'S NAME
Last Held
Applicant's Address First'Josh
927 Calls Negocio Unit D Applicant's E-mail Address
City San Clemente josh@enlightenedsolar.com
State CA Zip 92673
ARCHITECT/DESIGNER'S NAME Telephone 480-221-3639
Last o
Architect/Designers Address First Lic. No.
Architect/Designers E-mail Address
grchite �—
City
Stater Zip Telephoned
ENGINEER'S NAME
Last
Engineer's Address
City F�
State
CONTRACTOR'S NAME/COMPANY
-..,.-. First)
Lic. No.F_�
Engineer's E-mail Address
Zip Telephoned
Enlightened Solar
Contractors Address
927 Calle Negociof Unit D
City San Clemente
- State CA
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT �— SETBACKS RIGHT
USEZONE
DEVELOPMENT NO
Lic. No. 1064613 Class C-46
Contractors E-mail Address
Floslosh@enlightenedsolar. com
Zip 92673 Telephone 949-427-8400
PERMIT NO. —f V 7A�1
PLAN CHECK NO. ►►ICrF—tr/j6 'l
K4,10- 0�
PLAN CHECK FEES $