HomeMy WebLinkAboutPV2023-0326 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 0*01w,
Comm'I Q Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
DMilding F_ Grading
F-Drainage RElec rMech F-plumCu rd Cut Cu Yd Flll
Project Address (Not mailing address) [ Flood (—', Fire F- Liq F_ Landslide F_N/A Floor Suite No
4 WHITESANDS DRIVE F
Description of Work
Use ConstType ��
INSTALL A ROOF MOUNTED SOLAR PHOTOVOLTAIC SYSTEM: (11) _CELLS O.PE.AK DUO BLK
f10+ 40OW MODULES
ML
./L?j.
- - -
# Storiesr'-- it Units (if Res)
(1) TESLA INVERTER 7.6 KW 153800-XX-Y [SI1-SB] INVERTER
(4) TESLA MCI (MID CIRCUIT INTERRUPTER) 7•��Coi/
Valuation $ 14266
Material/Labor
I�'
New/Add SFI 1
Remodel SF� Garage/New/Addy
OWNER'S NAME
Last OHEN FirstBRADLEY
Owner's Address
Owner's E-mail Address
SAME _ _.
bmcohen141@gmatl.com
City
,.: State—, Zip �— Telephone 949-533-5947
APPLICANT'S NAME
Last MEDINA First BEN
Applicant's Address
#1225 LA BAYA DR
Applicants E-mail Address
BEN@IPERMITCA.COM
City ESTLAKE VILLAGE
State CA Zip 91362 Telephone818-735-7876
rIARCHITECT/DESIGNER'S NAME Last �— First r_----_-� Lic No.
i Archi[ecUDesinets Address
9
Architect/Designer's E-mail Address
City
State F Zip F Telephone
. EWGINEER'S NAME
Last First— Lic. No.1—
_
Engineer's Address
Engineer's E-mail Address
City
State CA Zip; TelephoneF4---
CONTRACTOR'S NAME/COMPANY WELL ENERGY Lic. No. 10'21183 Class 10. 46
Contractor's Address
-',. -..
- Contractor's E-mail Address BT30080231
1014 BROADWAY ST
wooley@swelienergy.cwm
'City ANTA MONICA.. _ State ICA Zip l 040�J t Telephone 10-340-0g4,9,3.
SETBACKS REAR
SETBACKS FRONT PERMIT NO.Z�7/j��(2r/Z�Q
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. zz
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ l0