HomeMy WebLinkAboutPV2019-107 - Permit Application__Print Form Worksheet for Combo Building & Solar Permit Application Sa
r Comm'I r Residential City of OEeach - ADivisionNOTE: PLAN CHCKFS DUE T TAME OF SUBMITTAL WWICW7
[—Building F_ Grading
r -Drainage r,Elec F_Mech rplum CuvdCut CuvdFill
Project Address (Not mailing address) F Flood F_ Fire r- Liq r` Landslide FN/A Floor Suite No
2921 CASSIA ST
I-- r- --
Description of Work
Use [_ Const Type
INSTALL 5.22 kW DC ROOF MOUNTED PV SYSYTEM,18 PANELS, I INVERTER
# Storiesf i # Units (if Res)[—
Valuation
SFF_Remodel
SFF—Garage/New/Add IMaterial/Labo
$ [16,500New/Add
OWNER'S NAME
Last LOURES First MARCO
Owner's Address
Owner's E-mail Address
2921 CASSIA ST
City NEWPORT BEACH
State CA Zip 92663 Telephone(949) 527-2529
APPLICANT'S NAME
Last STANTON First DEANA
Applicant's Address
Applicant's E-mail Address
20512 CRESCENT BAY # 108
deana.stanton@sunrun.com
City LAKE FOREST
State CA Zip 92630 Telephone Fq49-460-3433
ARCHITECT/DESIGNER'S NAME Last First F_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
_. State �� Zip f— TelephoneF--..—
ENGINEER'S NAME
Last (KUBITZ First FRISTOPHER Lic. No.73643
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, CS
Contractor's Address
Contractor's E-mail Address
20512 CRESCENT BAY
deana.stanton@sunrun.com
City Lake Forest
State CA Zip 92630 Telephone 949-460-3433
SETBACKS REAR
SETBACKS FRONT PERMIT N0. tp���''p(l� — V
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. O t "F
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $