HomeMy WebLinkAboutPV2022-0374 - Permit ApplicationPrint Form' Worksheet for Combo Building & Solar Permit Application
F— Comm'I F, Residential City of Newport Beach - Building Division Ali �j7
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT L
r!Building [7 Grading rDrainage F—,'Elec (—Mech F—I Plum Cu vd Cut Cu Ydrilll
Project Address (Not mailing address) [I Flood ] Fire rJ Liq Landslide �N/A Floor Suite No
921 Alder PI., Newport Beach CA92660 I F77
of Work
Use F7 Const Type n
# Stories, # Units (if Res)
� Valuation $
New/Add SF� Remodel SFF- Garage/New/Add ] Material/La
OWNER'S NAME Last
Owner's Address
First ]Paul
Owner's E-mail Address
921 Alder PI., Newport Beach CA92660 paul.jones@bridgeblp.com
City State F Zip F__ ----- -- J Telephone (949) 439-3421
APPLICANT'S NAME Last
Applicant's Address
20942 osborne st unit i canoga park ca 91304
City �— � State
First
Applicant's E-mail Address
ladmin@nextdoorsolar.com
Zip Telephone 818-670-1071
ARCHITECT/DESIGNER'S NAME Last First
Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
City i State F Zip I Telephoned
ENGINEER'S NAME Last I First �1 Lic. No.F
Engineer's Address
City State F
Engineer's E-mail Address
'. ._.._-------
Zip �' Telephoned—'..
CONTRACTOR'S NAME/COMPANY next door home construction Lic. No. 1054136 Class
Contractor's Address
20942 osborne st unit i canoga park ca 91304
City _ State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
ladmin@nextdoorsolar.com
Zip [—' Telephone 818 G70-1071
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $