HomeMy WebLinkAboutPV2022-0341 - Permit ApplicationWorksheet for Combo Building & Solar Permit Applicafion
(- Comm'I FI Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F>-,Building rGrading j-Drainage r., Elec r-.Mech Plum a, vdct F
Cu Yd Fill
Project Address (Not mailing address) F_�, Flood F Fire I I Liq j-, Landslide rN/A Floor Suite No
1506 ANITA LN.NEWPORTBEACH,CA,92660
ascription of Work i
Use Const Type
D ON OF 11.60Kw- 29 PANELS +29 MICRO -INVERTERS TO EXISTING --------'
nin cmniCRO i nvc RTrRc cni no INgTAi i cn nni cvicn nir- RQQF (1) CQM9 1 PIER SUB PANc 4
DISCONNECT,MCB DOWNSIZE 150A # Stories�t #Units (if Res'
New/Add SF(�, Remodel SF 61.2.50 Garage/New/Add ��..
OWNER'S NAME Last
Owner's Address
First
Owner's E-mail Address
1506 ANITA LN.
City NEWPORTBEACH State CA Zip 92660 Telephone (949)-280-6680
APPLICANT'S NAME Last
Applicant's Address
18340 YORBA LINDA BLVD#107-497
City ORBA LINDA State CA
First
Applicant's E-mail Address
DENNISHURTAD0009@OUTLOOK.COM
i
Zip 92886 Telephone 143422263
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Arch itect/Designer's Address
i
City ,_- State
ArchitecUDesigner's E-mail Address
i
Zip r Telephoned
ENGINEER'S NAME Last First Lic. No.�
Engineer's Address
City ._ _ . _ .......... . _ ._. State
Engineer's E-mail Address
Zip �— Telephone
CONTRACTOR'S NAME/COMPANY frENCq SOLAR INC Lic. No. 1.092568 Class C10C46
Contractor's Address
18340 YORBA LINDA BLVD#107497
City ORBA LINDA State CA
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
Contractor's E-mail Address
DENNISHURTAD0009@OUTLOOK.COM
Zip 92886 Telephone (949) 795-3472
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $