HomeMy WebLinkAboutPV2019-058 - Permit Application10(q -)01q T2Vao1R-o05IR
Print Form ' Worksheet for Combo Building & Solar Permit Application
j- Comm'I FXResidential City of Newport Beach - Building Division
NOTE, PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading rDrainage jX Elec r Mech
F_ Plum CuvdCut CuvdFill r—
Project Address (Not mailing address) f Flood
r Fire F_ Liq r Landslide F_N/A Floor Suite No
F_
3719 Park Green Dr Corona Del Mar, CA 92625
Description of Work
Use I— Const Type F
# Stories # Units (if Res)[—
(12)LG LG360QiC-A5
(12) SolarEdge P370 (I 1B) Optimizets
SolarEdge_Technologies SE3800H-US (240V) 4.32 kW DC System
(STC)
Valuation
New/Add SF Remodel SF Gara a/New/Add
g F_
Material/Labor L ✓�
OWNER'S NAME Last Shelton
First Barbara
Owner's Address
Owner's E-mail Address
3719 Park Green Dr
delwaid@cox.net
City Corona Del Mar State CA
Zip 92625 Telephone (949) 760-0390
APPLICANT'S NAME Last Espinoza
First Lauren
Applicant's Address
Applicant's E-mail Address
17150 Newhope St. #403
Info@vascosolar.com
City Fountain Valley State CA
Zip 92708 Telephone714-968-8845
ARCHITECT/DESIGNER'S NAME Last polar Engineering INC First CNG Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1245 San Fernando Rd. #200 Finfo@solarpermitservices.com
City San Fernando State CA
Zip 91340 Telephone 1-818-617-0420
First F-- Lic. No.F_
ENGINEER'S NAME Last !
Engineer's Address
Engineer's E-mail Address
City � State r—
Zip I Telephoner-----,
CONTRACTOR'S NAME/COMPANY Vasco Solar
Lic. No. 608260 Class C-46
Contractor's Address
Contractor's E-mail Address
17150 Newhope St. #403
Info@vascosolar.com
City Fountain Valley State CA
Zip 92708 Telephone 714-968-8845
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
1
PLAN CHECK NO. W
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $