HomeMy WebLinkAboutPV2023-0480 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I [-Residential City of Newport Beach -Building Division,
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-'Building [-Grading [—Drainage [-Elec [-Mech [-Plum Cu rd Cut Cu Yd Fill
Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
20-4 Cf-W l Ave
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Description of Work
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Valuation .MI6 K - V✓
New/Add SF g S6� 1cLo Remodel SF F—Garage/New/Add F
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Material/Labor l zt _ bH cS
OWNER'S NAME Last
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Owner's Address
Owner's E-mail Address
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City k)cvy,r+ !&,,-
State F Zip `fUC2 Telephone
APPLICANT'S NAME Last Barba First Vin
Applicant's Address
Applicant's E-mail Address
933 Newhail St
vin@brightlifesolar.com
City Costa Mesa
State CA Zip 92627 Telephone 908-489-3933
ARCHITECT/DESIGNER'S NAME
Last Same as applicant First 7— Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_— Zip Telephone[
ENGINEER'S NAME Last Morales First Douglas Lic. No. 69163
Engineer's Address
Engineer's 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
Contractor's Address
Contractor's E-mail Address
same as applicant
City I
State F— Zip F— TelephoneF_
SETBACKS REAR
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SETBACKS FRONT PERMIT NO. ? ftyd?_24— 04 WO
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. PCZOZ3- 217Z
USE ZONE
DEVELOPMENT NO MUZq- U I�j'7 PLAN CHECK FEES $