HomeMy WebLinkAboutPV2023-0092 - Permit ApplicationNU Z %- ougz
Print Form Worksheet for Combo Building & Solar Permit Application
r Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
I —Building r Grading (Drainage r-Elec F_Mech r Plum CuYdCut CuYdFill
Project Address (Not mailing address) F_ Flood F_ Fire r Liq f Landslide f N/A Floor Suite No
f 6 s y ,��� �Z6� F
Description of Work
Use F Contt Type I
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't" U Sa�G� Mid 4S ` 1'`c o tihV2/sr�lS t,5� 6wu h
# StoriesFJ # Units (if Res)
I_ p
TL14t,rt El c�� Y/�—W�2�
Valuation $ �Z Go G
Material/Labor i
New/Add SF �, L k-w Remodel SF Garage/New/Add F
OWNER'S NAME Last Is First
Owner's Address Owner's E-mail Address
16 I S E; 3``Y A-v-e
City LAC 0 6-ec State F""' Zip 926 Telephone 316_���-323
APPLICANT'S NAME Last Barba First Vin
Applicant's Address Applicant's E-mail Address
933 Newhall St vin@brightlifesolar.com
City Costa Mesa State CA Zip 92627 Telephone 908-489-3933
ARCHITECT/DESIGNER'S NAME Last Same as applicant First I Lic. No. u
Architect/Designer's Address Architect/Designer's E-mail Address
City State I — , Zip �a Telephone
ENGINEER'S NAME Last Morales First Douglas Lic. No. 69163
Engineer's Address Engineer's E-mail Address
5 Via Belmonte
City Rancho Santa Margarita State CA Zip 92688 Telephone 1 949-285-5104
CONTRACTOR'S NAME/COMPANY Bright Life Solar Lic. No. 1029267 Class
Contractor's Address Contractor's E-mail Address
same as applicant
City I State --- Zip -- Telephoner -
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. if 6`LV?,3 ,� o1j5(o
A -
USE ZONE DEVELOPMENT NO� W S4 • b "A0— PLAN CHECK FEES $