HomeMy WebLinkAboutPV2022-090 - Permit ApplicationPrint Form A Worksheet for Combo Building & Solar Permit Application
_J Comm'l (xl Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
CBuilding jjGrading j7Drainage [ Elec rjMech Plum cuvdCut cuvdrlu�
Project Address (Not mailing address) CI Flood [J Fire Liq Landslide EX -N/A Floor Suite No
259 Prospect St�
Description of Work
Use F-7 Const Type
# StoriesF7 # Units (if Res)❑
Valuation a /61 5
Material/Labor
New/Add SF Remodel SF J Gara a/New/Add
7_77-g
OWNER'S NAME Last Brown First Richard -
Owner's Address Owner's E-mail Address
259 Prospect St _ _I prospect259@yahoo.com
City Newport Beach —_ State CA Zip 92663 Telephone9493384535
APPLICANT'S NAME Last Roxas _ _ First Crystel
Applicant's Address Applicant's E-mail Address
1414 HARBOUR WAY S
City RICHMOND -� State CA Zip94804 Telephone
ARCHITECT/DESIGNER'S NAME Last _� First Lic. No.
Architect/Designer's Address ArchitecUDesigner's E-mail Address
City J State L J Zip F -7-7 Telephone
ENGINEER'S NAME Last First 1 Lic. No.
Engineer's Address Engineer's E-mail Address
City State I Zip � Telephone
CONTRACTOR'S NAME/COMPANYSunPower Corporation Systems Lic. No. 890895 Class B, C10
Contractor's Address Contractor's E-mail Address
1414 HARBOUR WAY S permitting.ontario@sunpowercorp.com
City RICHMOND State F77 Zip 94804 Telephone 5123817586
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES