HomeMy WebLinkAboutPV2022-0409 - Permit ApplicationPrint Form I Worksheet for Combo Building &,Solar Per it Application OGMW*10
r Comm'I �' Residential City of Newport Beach - Building Division V 20 jj - U q 0j
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jx Building r; Grading F-Drainage FT Elec F- Mech r Plum 'Cu Yd Cut Cu YdFill
Project Address (Not mailing address) C Flood r Fire (— Liq r', Landslide rN/A Floor Suite No
1700 Galaxy Dir
�I
Description of Work
Use F Const Type F
# Stories' # Units (if Res)
- -
Valuation $ 26,680
Material/Labor F
New/Add SF 486 Remodel SFF
Garag e/New/Add r I
OWNER'S NAME Last Schmidt
First I Katharine
Owner's Address
Owner's E-mail Address
1700 Galaxy Dr
City Newport Beach State CA Zip 92660 Telephone 415-407-7341
APPLICANT'S NAME Last Valencia
First Mary
Applicant's Address
Applicant's E-mail Address
10769 Woodside Ave., Ste 208
mary@designs.solar
City Santee State CA
Zip 92071 Telephone 909-265 4096
ARCHITECT/DESIGNER'S NAME Last
First �i Lic. No.
ArchitectIDesigner's Address
ArchitectIDesigner's E-mail Address
City State
ZIPTelephoneTelephone
ENGINEER'S NAME Last Hajihashemi
First Ali Lic. No. F84486
Engineer's Address
Engineer's E-mail Address
111 Rodeo
- - -
projects@ahzengineers.com
City Irvine State CA
Zip 92602 Telephone 949-466-1544
CONTRACTOR'S NAME/COMPANY EZ Solar Electric Inc
Lic. No. 953 Class C-10
Contractor's Address
Contractor's E-mail Address
642 Palomar St., Ste 406-158
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jiovana@ersolarelectric.com
city—
Chula Vista State CA
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Zip 91911 Telephone 619-888-0878
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SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $