HomeMy WebLinkAboutPV2022-054 - Permit ApplicationPn0%z-06q
Print Form Worksheet for Combo Building & Solar Permit Application o�EWPoRe
F- Comm'I FX-
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ��.oa+•'
FX -Building F_Grading
I -Drainage r-Elec F_Mech rl Plum Cu yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire F- Liq r Landslide rN/A Floor Suite No
4627 Roxbury Road Corona Del Mar CA 92625
Description of Work
Use F—Const Type VB
Installation of 8.0 KW DC Residential
battery
Roof Mounted Solar System
w/ 20 modules I inverter and 1
# StoriesF' # Units (if Res)''
Valuation $ 30000
Material/Labor
III
New/Add SF 422 Remodel SF� Garage/New/Add—'
OWNER'S NAME
Last Wallach
''... First Walter
Owner's Address
Owner's E-mail Address
4627 Roxbury Road
City Corona Del Mar
State CA
Zip 92625 Telephone 949-760-9762
APPLICANT'S NAME
Last Raymond
'.... First Pesse
Applicant's Address
Applicant's E-mail Address
24 Executive Park suite 230
jesse@ocsolarinc.com
Ciry Irvine
State CA
Zip 92614 Telephone 949.441.9386
ARCHITECT/DESIGNER'S NAME Last Same as Engineer
--- F
FirstLic. No.
ArchitectlDesigner's Address
Architect/Designees E-mail Address
Smngineer
City �.
'... State I—
Zip F_ Telephoned
ENGINEER'S NAME
Last Morales
FirstDouglas Lic. No.FC 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
info@ocsolarinc.com
City Irvine
State CA
Zip 92614 Telephone 714.514.1517
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. V 7,0�2 4 -
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $