HomeMy WebLinkAboutPV2023-0119 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 0—i",
F_ Comm'I r- Residential City of Newport Beach - Building Division1,r�NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL VVaj)j
r-Building F_ Grading
r-Drainage r'Elec r-Mech
r Plum CuYd Cut[-Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq j- Landslide r-N/A Floor Suite No
161 AVoce to
Are- 92467
F F_
D crip n of Work
Use F_ ConstType I
tz-+ V 56Iw
wlo.twW W v- N ; Wv rvv+vS (4tc
# Stories #Units (if Res)
1 [
Valuation $
Material/Labor F1 o Dt Od O
New/Add SF p , g5-1Remodel SFF— Garage/New/Add F-
OWNER'S NAME
Last RG Cl'.tCo
First W kle,
Owner's Address
Owner's E-mail Address
City
State l
zip l— Telephone 6p'Z_-Zjo-3-77
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 F— Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
City I
State I
Zip F_ Telephoned
ENGINEER'S NAME
La r, Ci
J' S
First R,K¢ Lic. No bw�
Engineer's Address
Engineer's E-mail Address 6qN t I
Wi16t, R.d Ste 107
City Ra,=I=- GanTa Maraarit^
State CA
Zip Telephone 94Q_a&6-5j-0* gbs-y4< Z I vu
sueoelec
3 6
CONTRACTOR'S NAME/COMPANY Bright Life Solar
Lic. No. O229267 Class FB, C-46
Contractor's Address
Contractors E-mail Address
same as applicant
City I
State I
Zip �— TelephoneF
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. z<71-S
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $