HomeMy WebLinkAboutPV2021-152 - Permit ApplicationIg361.2021
Worksheet for Combo Building & Solar Permit Application
] Comm'I r, Residential
Building f7 Grading
:Project Address (IN
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F -Drainage (KJ Elec F -J, Mech r; Plum
1—, Flood r Fire f—] Liq F- Landslide
1561 Indus St. Newport Beach, CA 92660
of Work
Bus, (N) 200A Main Breaker.
Cu Yd Fill
rN/A Floor Suite No
J
Const Type
# Stories7] # Units
Valuation $
New/Add SFF Remodel SFF— Garage/New/Add F Material/La
OWNER'S NAME Last Vallejo First
Owner's Address Owner's E-mail Address r
1561 Indus St.
ewport Beach State CA Zip 92660 Telephone 858-699-7792
city IN
APPLICANT'S NAME Last Andrews First Santo
- — ------- - --
Applicant's Address
110713 Norwalk Blvd.
City Santa Fe Springs State CA
Applicant's E-mail Address
santo.andrews@sempersolaris.com
Zip 90670 Telephone 714-404 5063
ARCHITECT/DESIGNER'S NAME Last FirstF 77 Lic. No.
Architect/Designer's Address
City State I l
— ----1 - -
ENGINEER'S NAME Last
Address
Architect/Designer's E-mail Address
Zip Telephoned
City State Zip
Firstl" IiI nl`Ifdl.d 1 Lic.
Engineer's E-mail Address
Telephone!
CONTRACTOR'S NAME/COMPANY Semper Solaris I Lic. No. 978152 Class B,C10,f6
Contractor's Address
10713 Norwalk Blvd.
City Santa Fe Springs State CA
— --
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
Contractor's E-mail Address
Zip 90670 Telephone 619-715-4054
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $