HomeMy WebLinkAboutPV2022-064 - Permit Application;° Prmt'Form " Worksheet for Combo Building & Solar Permit Application
r Comm I [ Residential City of Newport Beach - Building Division S
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c<'o..•
Building Grading Drainage [X'Elec [JMech r7Plum Cu ydcut� Cu YdFill�
Project Address (Not mailing address) ❑ Flood ❑ Fire E LiqLandslide N/A Floor Suite No
515 Fullerton Ave Newport Beach CA 92663
Description of Work
Install 6,0kW roof mount solar system include 15 x 40OW module/Enphase micro i�,,-rt.r� 1 Y F
charge 10 batterys & 225A MPU
Use F7 Const Type
# 5toriesFj # Units (if Res)[7
Valuation $
New/Add SF�J RemodelSF�— Garage/New/Add�� Material/Labor
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
515 Fullerton Ave. mcblack921@icloud.corn
City Newport Beach � C
State A Zip 92663 Telephone 949-836-2386
APPLICANT'S NAME Last
Applicant's Address
6319 Morse Ave
City North Hollywood State CA
First (Mikhail
Applicant's E-mail Address
M ikeb@sol a re nergy911.com
Zip 91606 Telephone 323-603-8239 J
ARCHITECT/DESIGNER'S NAME Last _ _ First J Lic. No. �—
Architect/Designer's Address
City 71 State L
71
Architect/Designer's E-mail Address
Zip l Telephoned
ENGINEER'S NAME Last First �— Lic. No.F___�
Engineer's Address
City — State
i
Engineer's E-mail Address
Zip F7 j Telephoned
CONTRACTOR'S NAME/COMPANY Future Energy J Lic. No. 1024289 Class F10
Contractor's Address
16735 Saticoy St #105
City Van Nuys State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
Contractor's E-mail Address
i
Mikeb@solarenergy911.com j
Zip 91406 J Telephone 323-603-8239
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $