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HomeMy WebLinkAboutPV2022-041 - Permit ApplicationF PrOt Form";' j Worksheet for Combo Building & Solar Permit Ap``IpIlication��, II r7Comm'I FResidential City of Newport Beach - Building Division � V �22' Vq, NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building L7. Grading [iDrainage r Elec Address r] Mech E Plum Cu Yd Cut I Cu Yd Fill © Flood I Fire © Liq [Landslide 331 Antigua Way, Newport Beach, CA 92660, USA Description of Work We are putting on system New/AddSFRemodel SFI Garage/New/Add OWNER'S NAME Last Owner's Address 1331 Antigua Way _� City Newport Beach J State CA J APPLICANT'S NAME Last Applicant's Address 797 N. Siavohn Dr. City Orange — _ State CA 7 First Owner's E-mail Address gmbrady@mac.com Zip First FJN/A Floor Suite No Use� Const Type L� J # Stories # Units (if Res)❑ Valuation $ Material/Labor 25000 Applicant's E-mail Address info@casolargroup.com Zip 92869 Telephone 951-2184243 — ARCHITECT/DESIGNER'S NAME Last Vahanyan —J First Armen Lic. No. Architect/Designer's Address 7647 Hayvenhurst Ste 26 City Van Nuys State CA Architect/Designer's E-mail Address i info@casolargroup.com Zip 91406 Telephone 951-218-4243 — ENGINEER'S NAME Last Vahanyan FirstArmen Lic. No.F -7 Engineer's Address 7647 Hayvenhurst Ste 26 City Van Nuys State CA Engineer's E-mail Address info@casolargroup_com J Zip 91406_ j Telephone 951-218-4243 -- — CONTRACTOR'S NAME/COMPANY CA Solar Group Lic. No. 1067781 Class Contractor's Address 7647 Hayvenhurst Ste 26 City Van Nuys i State CA SETBACKS REAR SETBACKS LEFT SETBACKS FRONT SETBACKS RIGHT USE ZONE DEVELOPMENT NO Contractor's E-mail Address info@casolargroup.com Zip 91406 Telephone951-218 4243 J PERMIT NO. PLAN CHECK NO. �-�, rM— _012 L_ PLAN CHECK FEES $ {V?z1La-_ CW