HomeMy WebLinkAboutPV2022-152 - Permit ApplicationPrint Form Worksheet for Combo Building $ Solar Permit Application OFQ=01.
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX-Building F_ Grading
F-Drainage rElec F_Mech f—Plum CuydCut CuvdFill
Project Address (Not mailing address) F_ Flood r Fire F_ Liq F_ Landslide FN/A Floor Suite No
504 Acacia
F_
Description of Work
Use s ConstType F
# Stories[ # Units (if Res)s
PV System 3.5kVV I u panels
Valuation
New/Add SFF__
Remodel SF F- Garage/New/Add F_
$ 15 000
Material/Labor '
OWNER'S NAME
Last TJH Homes First
Owner's Address
Owner's E-mail Address
26880 Aliso Viejo Parkway
Ste. 100
City Aliso Viejo
State CA Zip 92656 TelephoneF
APPLICANT'S NAME
Last 'W �-�s1�Ver First k-a�r; C_
Applicant's Address
Applicant's E-mail Address
City
State CA Zip I� Telephone (�:)S I-� 3-(.)"Z j 7
ARCHITECT/DESIGNER'S NAME Last Complete Solar First F__ Lic. No. F_
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
3000 Executive Pkwy., Ste.
504
City
State CA Zip 94583 Telephone 877-299-4943
ENGINEER'S NAME
Last Nguyen First FHuan Lic. No. 664238
Engineer's Address
Engineer's E-mail Address
15 Studebaker
City lirvine
State CA Zip 92618 Telephone 949-752-1612
CONTRACTOR'S NAME/COMPANY TJC Home Builders LLC Lic. No. 0025507 Class
Contractor's Address
Contractor's E-mail Address
City Aliso Viejo
State CA Zip 92656 Telephone 949-481-7026
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. /
USE ZONE
I /
DEVELOPMENT NO �iNJ1"L V JV / PLAN CHECK FEES $
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