HomeMy WebLinkAboutPV2022-0297 - Permit ApplicationPrin Form Worksheet for Combo Building & Solar Permit Application o�
Comm'I Residential NOTE: PILAN ty CHECKOF Beach
DUE AT TdIME OF Divisioning OFMow 0).1� Z11
XBuilding F Grading
[—Drainage rElec [ Mech
F` Plum CuvdCut F CuvdFit F
Project Address (Not mailing address) F Flood
r" Fire r Liq i Landslide F_N/A Floor Suite No
3807 Seashore Dr Newport Beach, CA 92263
Description of Work
Use Solar Const Type
Installation of (15) 395W solar modules and (15) IQ8 inverters.
# Stories # Units (if Res)F
Valuation $ 15,000.00
New/Add SFF
Remodel SFr— Garage/New/Add F—
Material/Labor ar_,
OWNER'S NAME
Last Pham
First Tuan
Owner's Address
Owner's E-mail Address
1947 Windward Ln
tgpham@gmail.com
City Newport Beach
State CA
Zip 92660 Telephone (469) 348-4421
APPLICANT'S NAME
Last Renton
First Lauren
Applicant's Address
Applicant's E-mail Address
927 Calle Negocio, Unit D
Trenton@enlightenedsolar.com
City San Clemente
State CA
Zip 92673 Telephone (949) 312-8668
ARCHITECT/DESIGNER'S NAME Last --- First F F_
Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
City �
State F_
Zip F_ TelephoneF_
ENGINEER'S NAME
Last
First F Lit. No.1
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F_ Telephone
CONTRACTOR'S NAME/COMPANY Enlightened Solar
Lic. No. F564613 Class C46
Contractor's Address
Contractor's E-mail Address
927 Calle Negocio, Unit D
Irenton@enlightenedsolar.com
City San Clemente
State CA
zip 92673 Telephone 1 949-312-8668
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. ��$ Q�'1
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $