HomeMy WebLinkAboutPV2023-0330 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application Q
F-Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading
j—Drainage R Elec r Mech r Plum CuydCut F CuydFill F
Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide FN/A Floor Suite No
4539 Fairfield Dr.
Description of Work
Use F—Const Type
(11) SOLARIA POWER X-400R
Modules, (11) ENPHASE MICRO -INVERTERS
# StoriesF2 #Units (if Res)
4.400 kWp
0
Valuation $
New/AddSFF
Remodel SFF— Garage/New/AddF—
F191800
Material/Labor
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
4539 Fairfield Dr.
City Newport Beach
State CA Zip 92663 Telephone
APPLICANT'S NAME
Last Vasquez First Richard
Applicant's Address
Applicants E-mail Address
17150 Newhope St. #403
Info@vascosolar.com
City Fountain Valley
State CA Zip 92708 Telephone 714-968-8845
ARCHITECT/DESIGNER'S NAME Last GreenLancer First F Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F— Zip F TelephoneF
ENGINEER'S NAME
Last Xie First Xiaojian Lic. No. 77569
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Vasco Solar Lic. No. 608260 Class C-46
Contractor's Address
Contractor's E-mail Address
1150 Newhope St. #403
Info@vascosolar.com
City Fountain Valley
State CA Zip 92708 Telephone 714-968-8845,
SETBACKS REAR
SETBACKS FRONT PERMIT NO. egy�tff _ Mo
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 74-L1 L9
USE ZONE
DEVELOPMENT NO �i%tip PLAN CHECK FEES $
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