HomeMy WebLinkAboutPV2022-153 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o�R1e
r Comm'I i"X Residential City of Newport Beach - Building Division T V Inn - I6� � i=
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 9<,FoaN
X Building Grading
j- Drainage X Elec j Mech F' Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) C Flood r Fire F Liq [_ Landslide j_N/A Floor Suite No
® ail � --- �------�_____.
Description of Work
Use Const Type F—
# Stories12 # Units (if Res)(
Valuation $
Material/Labor)
PV System panes
New/Add SF
Remodel SF Garage/New/Add
OWNER'S NAME
Last j ,, J C) �_ �S First
Owner's Address
_ Owner's E-mail Address
126880 Aliso Viejo Parkway Ste. 100
City Aliso Viejo
State CA Zip 192656 TelephoneF
APPLICANT'S NAME
Last �L-0 eT,-+, Avr-r First Nellie
Address
Applicant's E-mail Address
j�Applicant's
!
nrnontejano c@x. tjhusa-e�- : -
City
State CA Zip Telephone[q Wi;-�6�9-5118
ARCHITECT/DESIGNER'S NAME Last Complete SolarFirst Lic. No. I
Architect/Designer's Address
Architect/Designer's E-mail Address
City San Ramon
— F_
State CA Zip Telephone 877-299-4943
ENGINEER'S NAME
Last First Huan Lic. No. C64238
Engineer's Address
Engineer's E-mail Address
15 Studebaker
City 11rvine
State ICA Zip 92618 Telephone 949-752-1612
CONTRACTOR'S NAME/COMPANY TJC Home Builders LLC Lic. No. 1025507 Class F
Contractor's Address
Contractor's E-mail Address
City �—
State Zip �Telephone i949� 481-7026�
SETBACKS REAR
SETBACKS FRONT PERMIT NO. ' J
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMT NO `�`� PLAN CHECK FEES $