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HomeMy WebLinkAboutPV2019-029 - Permit Application7V Z0G -0 2C`1 &2-41,b • ao k-� y Print Form Worksheet for Combo Building & Solar Permit Application F- Comm'I Fx- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ON, rBuilding F_Grading F -Drainage rElec F_Mech F- Plum Cu Yd Cut Cu Yd Fills Project Address (Not mailing address) (- Flood r Fire (- Liq r Landslide [N/A Floor Suite No 1963 Port Dunleigh Cir �— Description of Work Use s Const Type Roof Mounted PV Solar (50) Modules and (2) Inverters for a (16) kw system #Stories # Units (if Res)s _ Valuation $ Material/Labor oyOWNER'S New/Add SFtion �— Remodel SF Garage/New F /Add � NAME Last Mitchell First Paquelyn Cr i Owner's Address Owner's E-mail Address 1963 Port Dunleigh Cir City Newport Beach StateCA Zip 92660 Telephoner APPLICANT'S NAME Last Ryan First im Applicant's Address Applicant's E-mail Address 341 N. Engel St ryan@solarsymphony.co City Escondido State CA Zip 92029 T phone (760) 707-7557 ARCHITECT/DESIGNER'S NAME Last �— First Lic. No. IF- Architect/Designer's Address Architect/Designer's E-mail Address City- State F_ Zip Telephone ENGINEER'S NAME Last Blair First Roger Lic. No. C 0488724 Engineer's Address Engineer's E-mail Address 16922 Old Washington Road caimaneng@gmail.com City Nevada City State CA Zip 95959 Telephone 530.478.9500 CONTRACTOR'S NAME/COMPANY Solar Symphony Lic. No. F88146 Class C-46 Contractor's Address Contractor's E-mail Address 341 N. Engel St ryan@solarsymphony.com City Escondido State CA Zip 92029 Telephone (760) 707-7557 SETBACKS REAR SETBACKS FRONT PERMIT NO.Pik"7 .- o 2 ' SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ s"�"