HomeMy WebLinkAboutXR2022-2403 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4y`oPoY'm
r- Comm'] r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(X Building r- Grading
r'Drainage r- Elec r- Mech r Plum Cuvdcutt CuvdFill F_
Project Address (Not mailing address) I- Flood r- Fire r Liq r Landslide FN/A Floor Suite No
507 LARKSPUR AVENUE CORONA DEL MAR, CA 92625 �— F_—
Description of Work
Use t ConstType VB
# Stories # Units (if Ress
es a owerwa .
Valuation $ [15,000
Material/Labor
New/Add SFF
Remodel SFF Garage/New/Add F_
OWNER'S NAME
Last Fourcher First Fred
Owner's Address
Owner's E-mail Address
507 LARKSPUR AVENUE
City CORONA DEL MAR
State CA Zip 92625 Telephone (714)-914-1000
APPLICANT'S NAME
Last Raymond First Jesse
Applicant's Address
Applicant's E-mail Address
24 Executive Park suite 230
jesse@ocsolarinc.com
City Irvine
State CA Zip 92614 Telephone 949.441.9386
ARCHITECT/DESIGNER'S NAME
Last Same as Engineer First— Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
Same as Engineer
City I
State F_ Zip F— Telephoned
ENGINEER'S NAME
Last Morales First Douglas Lic. No. C 69163
Engineer's Address
Engineer's E-mail Address
24 Executive Park suite 230
info@ocsolarinc.com
City Irvine
State CA Zip 92614 Telephone 949.427.8817
CONTRACTOR'S NAME/COMPANY Orange County Solar Lic. No. 1023627 Class B/C10
Contractor's Address
Contractor's E-mail Address
24 Executive Park suite 230
nfo@ocsolarinc.com
City Irvine
State CA Zip 92614 Telephone 714.514.1517
SETBACKS REAR
SETBACKS FRONT PERMIT NO. i(�(t-'LC�`Z'Z,- 2 LtD3
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. R2OZ2-22 N'1
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $