HomeMy WebLinkAboutPV2019-073 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I J—X Residential City of Newport Beach -Building Division Pv/o/q- 0 773
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 62Cfr-
F -Building r Grading F -Drainage F7Elec FMech F Plum cuvdCut F Cu Yd Fill v
Project Address (Not mailing address) f— Flood F- Fire F- Liq F_ Landslide rN/A Floor Suite No
103 Bayside Drive, Corona Del Mar, CA 92625 �W
Description of Work
Use Const Type
Install kW Solar PV System
14.52 on residential roof. Total of 44 panels.
# Stori # Units (if Res)F_
Valuation $ F,537.00
New/Add SFRemodelSF
9 I
Gara a/New/AddMaterial/LaborOWNER'S
NAME Last noue
First irk
Owner's Address
Owner's E-mail Address
103 Bayside Drive
irkinoue@gmail.com
City orona Del Mar State �A
Zip V2625 Telephone 49-278-4500
APPLICANT'S NAME Last aCosta
First Pristine
Applicant's Address
Applicant's E-mail Address
980 Allison Parkway
dacosta@citadelrs.com
City acaville State CA
Zip 5688 Telephone 707-446-5500 exh
AA6FFFFEET/DESIGNER'S NAME, Last '(�
First t=k1 C Lic. No. F'
Architect/Designer's Address
Architec esigner's E-mail Address
City State F
Zip i Telephone
ENGINEER'S NAME Last �
�i First F_ Lic. No.F.-----...
Engineer's Address
Engineer's E-mail Address
City State
Zip �� Telephone F�
CONTRACTOR'S NAME/COMPANi 9J Rooding Inc. dba Citadel Rooding and Solar Lic 471 C46
No. 49 ClassF6
Contractor's Address
Contractor's E-mail Address
980 Allison Parkway
dacosta@citadelrs.com
City,acaville State �A — -
Zip 5688 Telephone 07-446-5500
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $