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HomeMy WebLinkAboutPV2022-0410 - Permit ApplicationPrint Farm Worksheet for Combo Building & Solar Permit Application [- Comm'I (x Residential City of Newport Beach - Building Division ^ !L ;g NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL n ID.1-O�J ii-o )X Building [- Grading [-Drainage r- Elec [- Mech j- Plum Cu Yd cut Cu Yd Fill F Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No - - 1405 KEEL DRIVECORONA DEL MAR, CA 92625 Description of Work Use F—ConstType �— INSTALL NEW 12.000KW ROOF MOUNTED SOLAR SYSTEM. INSTALL (30) MODULES, (30) DC POWER OP-TIA.417ERS 9,.AssQQ.A.Tr0 MOUNTING WARDARE, ON EXISTING METAL F_ # Stories #Units (if Res) -STOIDING SEAM ROOF, INSTALL (1)INVERTER W/INTERGRATED DC DISCONNECT, (1)AC DISCONNECT Valuation$ [30000 Material/Labor -- -- New/Add SF Remodel SF Garage/New/Add �— OWNER'S NAME Last LU First OHNNY Owner's Address Owner's E-mail Address 1405 KEEL DRIVE City CORONA DEL MAR State CA Zip 92625 Telephone 626.272.2221 APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address 12273 11TH STREET PERMITS@VISIONCE.COM City IYUCAIPA State CA Zip 92399 Telephone 909 748 1300 ARCHITECT/DESIGNER'S NAME Last First I Lic. No. �— Architect/Designer's Address ArchitectlDesigner's E-mail Address City � State I Zip F_ Telephone F_ ENGINEER'S NAME Last First I Lic. No.� Engineer's Address Engineer's E-mail Address City State I-- Zip F TelephoneF_ CONTRACTOR'S NAME/COMPANY UN SOLAR US,INC Lic. No. 975072 Class B,C10 Contractor's Address Contractor's E-mail Address 131-3 G 0 16755 VON KARMAN AVE #200 City IRVINE State CA Zip 2606 Telephone 49 242 0088 SETBACKS REAR SETBACKS FRONT PERMIT NO. PV 2V2Z- 04 t O SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. PGZOZZ- Z77I USE ZONE DEVELOPMENT NO PLAN CHECK FEES $