HomeMy WebLinkAboutPV2019-076 - Permit Applicationpunt f orm J Worksheet for Combo Building & Solar Permit Application @N,
'°RmComm'I [ Residential City of Newport Beach - Building Division 1327 ;0jqNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ���®��eQ ��o„��
[`,Building rGrading
j`1Drainage [X'Elec F -,I Mech
'Plum Cu Yd Cu[ F Cu Yd Fill
Project Address (Not mailing address)' Flood r, Fire F_j Liq (; Landslide N/A Floor Suite No
718 Goldenrod Ave
F-7,,
Description of Work
Use F Const Type I
INSTALL 2.61 kW DC ROOF MOUNTED
PV SYSYTEM 9 PANELS 1 INVERTER
# Stories[ # Units (if Res)
Valuation$
SFF—
Remodel SF�— Garage/New/Add�_--,
F7,5OONew/Add
Material/Labo
OWNER'S NAME
LastIBRANDENBURG
First DOROTHEA
Owner's Address
Owner's E-mail Address
718 GOLDENROD AVE
City NEWPORT BEACH
State CA
Zip 92625 Telephone949-510-5244
APPLICANT'S NAME
Last STANTON
First DEANA
Applicant's Address
Applicant's E-mail Address
20512 CRESCENT BAY # 108
deana.stanton@sunrun.com
City ILAKE FOREST
State CA
Zip 92630 Telephone 949-460-3433
ARCHITECT/DESIGNER'S NAME Last � First F�'
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
_
ZipI::_— Telephai3g
ENGINEER'S NAME
Last JtBITA
First KRISTOPHER / Lic. No. 79643
(`
Engineer's Address
Engineer's E-mail Address
44 KNOX
City DENVER State CO
Zip 80219 Telephone 720-475-7999
CONTRACTOR'S NAME/COMPANY SUNRUN
Lic. No. 750184 Class C-10,'
Contractor's Address
Contractor's E-mail Address
20512 CRESCENT BAY
deana.stanton@sunrun.com
City Lake Forest
i State CA
Zip 92630 , Telephone 949-460-3433
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. ` V C0 — 7 6
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $