HomeMy WebLinkAboutPV2024-0021 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j—Building r Grading rDrainage r Elec r Mech
r Plum Cu Yd Cut Cu Yd Fill F_
Project Address (Not mailing address) r Flood r Fire F_ Liq I— Landslide FN/A Floor Suite No
ilk S Ttt ST q?_663
F_ �-
Description of Work
Use I— Const Type
# StoriesF_ # Units (if Res)F_
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e�err 5
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Valuation �( 2ne00 - 2V
New/Add SF LW Remodel SF Gara a/New/Add
G�— g F
a
Material/Labor
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OWNER'S NAME Last -�re"F've�
First -701
Owner's Address
Owner's E-mail Address
t(� gSTM ST
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City NCwP.rt- Rca.4 State GI /+
Zip jU63 Telephone 9632-5�1-14
APPLICANT'S NAME Last Barba
First Fin
Applicant's Address
Applicant's E-mail Address
933 Newhall St
vin@brightlifesolar.com
City Costa Mesa State CA
Zip 92627 Telephone 908-489-3933
ARCHITECT/DESIGNER'S NAME Last Same as applicant
First F_ Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F_
Zip F_ Telephoned
ENGINEER'S NAME Last Morales
First Douglas Lic. No. 99163
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_ Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO. v - 'L
SETBACKS LEFT SETBACKS RIGHT
A
PLAN CHECK NO.� (;Mw j 0&
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $