HomeMy WebLinkAboutPV2023-0237 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application a
F_ Comm'I j— Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r V Ja11`�
F-BuildingrGrading I -Drainage rElec rMech
(-Plum CuvdCut F CeYdFill F
Project Address (Not mailing address) r Flood
r Fire F` Liq r Landslide rN/A Floor Suite No
127- 6
FDescription
S7 q2(. &—)-
of Work
Use F—ConstType F_
#Stories #Units (if Res)
1 v i nu C
rOo -c
,
Valuation $
New/Add SFrs A,;t, kU Remodel SFF—Garage/New/Add F_
Material/Labor I 0
OWNER'S NAME Last t<1te
First 0li"e,
Owners Address
Owners E-mail Address
Z'3- Sr
City ; CJO.Ill GrecL. State F c�
ZiP G'Lr,6 i Telephone
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/Designers E-mail Address
City State F_
Zip F_ Telephoned
ENGINEER'S NAME Last Morales
First Douglas Lic. No. 69163
Engineer's Address
Engineers E-mail Address
5 Via Belmonte
City Rancho Santa Margarita State CA
Zip 92688 Telephone 949-285-5104
CONTRACTOR'S NAME/COMPANY Bright Life Solar
Lic. No. 1029267 Class B, C-46
Contractors Address
Contractor's E-mail Address
same as applicant
City I State F___
Zip F- Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO. f)V 2aZ3 -
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. P'L Z02-3-(j 9 LV
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $