HomeMy WebLinkAboutPV2023-0023 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 007--,ii
Comm] ResidentialCity of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
V< Building (— Grading
F—Drainage r Elec j— Mech r' Plum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address) f Flood [; Fire [ Liq r Landslide IaN/A F�loor� Suite No
2175 Andover Ln
(
I F—
Description of Work
Use Const Type
Installation of a 6.40
DC kW system with 16 modules and 16 micro
# Stories #Units (if Res)
i inverters.
Valuation
New/Add SF�
Remodel SFGarage/New/AddF—
$ $16,000
Material/Labor
OWNER'S NAME
Last Marshall First Jonathan
Owner's Address
Owner's E-mail Address
2175 Andover Ln
jon@goodenergynetwork.com
City I Newport Beach
State FCA zip 92 660 Telephone 917-686-7735
APPLICANT'S NAME
Last Vasquez First Guillermo
Applicant's Address
Applicant's E-mail Address
3325 Shelby St
capermitting@titansolarpower.com
City I Ontario
State CA Zip 91764 Telephone 626-602-5493
ARCHITECT/DESIGNER'S NAME
Last First r-----_
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
F
City
State r Zip r---s� Telephone ------ _ W
ENGINEER'S NAME
Last First r- Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F -- Zip Telephone
CONTRACTOR'S NAME/COMPANY
Titan Solar Power CA Lic. No. F1062072 Class c1o, C46
Contractor's Address
Contractor's E-mail Address
525 W Baseline Rd
capermitting@titansolarpower.com
City Mesa
State qZ Zip 85210 Telephone 480-237-2375
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $