HomeMy WebLinkAboutPV2022-0308 - Permit Application�12022-o3n�S
Print Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division o
r', Comm'I r, Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) [ Flood Fire r Liq r' Landslide rN/A Floor Suite No
1644 Galaxy Dr, Newport Beach, CA 92660 �—
Description of Work
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Use ConstType
# Stories: # Units (if Res)'
No main panel upgrade, no battery i
-......
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Valuation $
Material/Labo128,375.00
New/Add SF
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Remodel SF I, Gara a/New/Add �
OWNER'S NAME
Last Nix First David
Owner's Address
Owner's E-mail Address
1644 Galaxy Drive
davenix@pacbell.net
City Newport �p Beach
State CA Zip 92660 Telephone 949-637 0508
APPLICANT'S NAME
Last Mohr First Zach
Applicant's Address
Applicant's E-mail Address
14946 Shoemaker Ave
zach@solirvine.com
City Santa Fe Springs
State CA Zip 90670 Telephone 3109361366
ARCHITECT/DESIGNER'S NAME Last �— First F_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �—
State F Zip F—, Telephone
ENGINEER'S NAME
Last Martin First Loyd Lic. No.F
Engineer's Address
Engineer's E-mail Address
9924 Universal Blvd #224 406 loydwmartin@gmail.com
City Orlando
State FL Zip 32819 Telephone 3104641804
CONTRACTOR'S NAME/COMPANY Solirvine LLC Lic. No. 1050892 Class C46
Contractor's Address
Contractor's E-mail Address
19481 Hi hrid a Way
9_ g Y_
_ morn solirvii
@
City Portola Hills
-_
State CA Zip 92679 Telephone 9255484924
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO,
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $