HomeMy WebLinkAboutPV2022-0344 - Permit ApplicationPrint Form J Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division g
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Building rGrading
rDrainage jX' Elec r Mech
I^ Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) [_ Flood r Fire I— Liq r Landslide FN/A Floor Suite No
430 Ell Modena Ave
F—
Description of Work
Use R3/U Const Type VB
# Stories # Units (if Resf
Pv System Panels
New/Add SF�—Remodel
SFGarage/New/AddF—
Valuation $ Fis,000
Material/Labor
OWNER'S NAME
Last Thomas James Homes
W First
Owner's Address
Owner's E-mail Address
26880 Aliso Viejo Parkway,
Suite 100
mrosene@tjhusa.com
City Aliso Viejo
State CA
Zip 92656 TelephoneF
APPLICANT'SNAME
Last Montejano
First Nellie
Applicant's Address
Applicant's E-mail Address
26880 Aliso Viejo Parkway,
Suite 100
nmontejano@tjhusa.com
City Aliso Viejo
State CA
Zip 92656 Telephone 949-669-5118
ARCHITECT/DESIGNER'S NAME
Last Complete Solar
First F --i Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
3000 Executive Pkwy., Ste.
504
swalden@completesolar.com
City Newport Beach
State CA
Zip 92660 Telephone 949-553 9100
ENGINEER'S NAME
Last Nguyen
First Huan Lic. No. C64238
Engineer's Address
Engineer's E-mail Address
15 Studebaker
City Irvine
State CA
Zip 92618 Telephone 949-590-9009
CONTRACTOR'S NAME/COMPANY T J C Home Builders
Lic. No. 1025507 Class BB
Contractor's Address
Contractor's E-mail Address
26880 Aliso Viejo Parkway,
Suite 100
City Aliso Viejo
State CA
Zip 92656 Telephone 949-481-7026
SETBACKSREAR
SETBACKS FRONT
PERMITNO. t\lZ62_2-0,2gt(
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. P>C2022 _ 25q�
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $