HomeMy WebLinkAboutPV2023-0154 - Misc (3)CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
SOLAR CONTRACTOR DECLARATION
Keep with Inspection card.
This form is for the Inspector to take at time of final inspection
ART 1: To be completed EF RE PERMIT ISSUANCE
JOBS'ITE ADDRESS:
301 Milford Dr Corona Del Mar
CONTRACTOR NAME:
CONTRACTOR STATE LICENSE #:'
Sunrise Electric Svcs
813498 C-10
PANEL MAKE #:
PANEL MODEL #:
HANWHA-Q CELL
Q. PEAK DUO BILK ML-10+SERIES 395WATT
A 2.be completed PRIOR 0 INSPECTION REQUEST
and placed with jobsite inspectiod
DECLARATION-
1, ANDREW READ _ declare that the PV module make and model
(PRINT NAME)
number, quantity, and location are installed as per the approved plans. Module
manufacturer, make, model and number, fire classifications of modules, and
brackets match the approved plans for the project Located at the above
referenced addrV�s within tfj(e Cfty of Newport Beach.
(SIGNATURE)
3-7-16
08/03/2023
(DATE)