HomeMy WebLinkAboutX2022-1258 - Permit ApplicationTint Fofm ' Worksheet for Building Combo Permit pplication saComm'l r Residential City of Newport Beach - Building Division oNOTE: PLAN CHECK FEE DUE AT TIME OF SUBBM'ITTTTA�L
[Building rGrading (""Drainage 19Elec rMech Plum CucYd Cutl Cu Yd Fill
Project Address (Not mailing address) - Floor Suite No
1937 Port Trinity, Newport Beach, CA 92660
Description of Work
Use
Z 6 k1A/ Rooftop Solar IngtAlintinn
# Stones7' # Units (if Res)F7
New/Add SF Remodel SF F---7 Garage/New/Add Valuation $
�!' Material/Labor 15,192.00
OWNER'S NAME Last Tusdi
First Vopat
Owner's Address
Owner's E-mail Address
1937 Port Trinity
City Newport Beach State CA
__ --
Zip 92660 Telephone 714-926-5761
APPLICANT'S NAME Last Pearce
First Mark
Applicant's Address
Applicant's E-mail Address
34281 Monte Vista Rd.
mpearce@calstatesolar.com
City Wildomar State CA Zip
92595 Telephone 949-973-4925
ARCHITECT/DESIGNER'S NAME Last First F_77� Lic. No F_'
Architect/Designer's Address
Architect/Designees E-mail Address
City _. State ZipTelephone
honeF_
ENGINEER'S NAME Last Calvert
First Fjohn Lic. No. 72244
Engineer's Address
Engineer's E-mail Address
PO Box 6968
domusstructural@gmail.com
City Broomfield State CO Zip 80021 Telephone 530-864-7055
CONTRACTOR'S NAME/COMPANY CalState Solar
S �' Z Lic. No, 1006247 Class
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Contractor's Address�'�
29990 Technology Drive, #15
Contractor's -mail Address
City Murrieta State CA Zip 92563 Telephone 949-973-4925
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO. •
ELEC/PLUM/MECH P/C FEES
PLAN CHECK FEE $
DEVELOPMENT#
TOTAL FEES PAID $