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HomeMy WebLinkAboutPV2021-062 - Permit Applicationr Comm'I I —Building vvorKsheet for Combo Building & Solar Permit Application F Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL I! Grading ict Address (Not SaRview-Ave I Description of Work F-;Drainage f7 Elec rMech Pfu_m Cu Yd Mailing address) I! e/ Flood Fir�j ^N . Cu Yd Fill I `I'dj-N/A Floor Suite No 0 ZJ_ _-_- J.27 kW DC solar system consistin 10 vj V 9 of ( ) panels, (10) micro inverters, and (N) SunPo Use�t VOL_ Const Type F St° ies # Units (if Res)[ New/Add SF�---i Remodel SF Garage/New/Add Valuation $ F'OOOO� Material/Labor OWNER'S NAME Last Erselius Owner's Address First Jeff 2730 Sailview Ave Owner's E-mail Address jerselius@jelico.com City Corona Del Mar - State CA Zip 92625 Telephone 714 920 0296 APPLICANT'S NAME Last Alexander Applicant's AddrFirst Mitch ass 10192 Constitution Drive City Huntington Beach State CA ARCHITECT/DESIGNER'S NAME Last Applicant's E-mail Address mitch@urbanenergysolar.com F Zip 92646 Telephone 530 515 5561 F - Architect/Designer's Designer's Address City State ENGINEER'S NAME Engineer's Address Lic. No. F------- First jPhong Lic. No. C70784 I3000 E Birch St Engineer's E-mail Address info@yoursolarplans. com City Brea m State CA Zip 92821 Telephone (844) 783-5483 CONTRACTOR'S NAME/COMPANY Mark Mendoza / Urban Energy Solar Lic. No. �944115` Contractor's Address - I Class C-46 10192 Constitution Drive Contractor's E-mail Address info@u rbanenergysolar. com City Huntington Beach State CA Zip F92646 Telephone 562 447 4971 Architect/Designer's E-mail Address Zip [' Telephone Last Truong ®®® SETBACKS REAR SETBACKS FRONT SETBACKS LEFT USE ZONE SETBACKS RIGHT — PLAN CHECK N0. Q - DEVELOPMENT NO 17La1�� _t� PLAN CHECK FEES $