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HomeMy WebLinkAboutPV2023-0368 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application of"`'�°°e F- Comm'I >< Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building F_ Grading F-Drainage FX_ Elec (•- Mech r Plum CuvdCut CuvdFill F_ Project Address (Not mailing address) I— Flood F_ Fire F_ Liq [_ Landslide FN/A Floor Suite No 2322 Margaret Description of Work Use R3/U Const Type VB # Stories # Units (if Res)s PV System ane s RemodelSF�Garage/New/AddF_ Valuation$ F16,000New/AddSF7— Material/Labor OWNER'S NAME Last LA21G,LLC First Owners Address Owner's E-mail Address 26880 Aliso Viejo Parkway, Suite 200 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 200 nmontejano@tjhusa.com City Aliso Viejo State CA Zip 92656 Telephone 949-669-5118 ARCHITECT/DESIGNER'S NAME Last Complete Solar First Lic. No. 9671988 Architect/Designer's Address Architect/Designees E-mail Address 3000 Executive Pkwy., Ste. 504 swalden@completesolar.com City San Ramon State CA Zip 94583 Telephone 877-299-4943 ENGINEER'S NAME Last First F_ Lic. No.s Engineer's Address Engineer's E-mail Address City State F Zip Telephoned CONTRACTOR'S NAME/COMPANY T J C Home Builders Lic No. 10255 77 Class I" Contractor's Address Contractors E-mail Address 26880 Aliso Viejo Parkway, Suite 200 City Aliso Viejo State CA Zip 92656 Telephone 949-481-7026 SETBACKS REAR SETBACKS FRONT PERMIT NO. 14 111:zl�.7�) SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $