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HomeMy WebLinkAboutPV2023-0017 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o?EWPo City of Newport Beach - Building Division F_ Comm'I jx Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL jXBuilding r Grading F-Drainage r'Elec rMech F_PlumcuYdCut s cuYdFill s Project Address (Not mailing address) [ Flood F_ Fire r Liq r Landslide F_N/A Floor Suite No 1423 Mariners Drive �— Description of Work Use RTU Const Type VB # Stories # Units (if Res)s PV System Panels Valuation New/Add SFF — Remodel SF7— Garage/New/Add F $ 16,000 Material/Labor OWNER'S NAME Last LA21G,LLC 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 Telephone—' APPLICANT'S NAME 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 Lic. No. F Architect/Designer's Address Architect/Designer's E-mail Address 3000 Executive Pkwy., Ste. 504 swalden@completesolar.com City Newpek-Bash, State CA Zip Fe;%� Telephone A49 ENGINEER'S NAME NAME Last First F Lic. No.F Engineer's Address Engineer's E-mail Address City - State F Zip Telephoned CONTRACTOR'S NAME/COMPANY T J C Home Builders Lic No. 1025507 Class s 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 � " SETBACKS REAR SETBACKS FRONT PERMIT NO. A Z"I/-�7 SETBACKS LEFT SETBACKS RIGHT y('�76/ PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $