HomeMy WebLinkAboutPV2020-061 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
Comm'I I! Residential City of Newport Beach - Building Division � v�®X609
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding [7. Grading F -Drainage FXJElec r',Mech f—, Plum Cu Yd Cut) Cu Yd Fill!
Project Address (Not mailing address) f—. Flood r Fire r Liq F_ Landslide N/A Floor Suite No
1700 SKYLARK LANE, NEWPORT BEACH, CA 92660
Description of Work Use ConstT
Ype
RF -INSTALLATION OF EXISTING PV MODULES ON NEW ROOF 4 94KW DC WITH NEW INVERTER
RAPID SHUTDOWN INTEGRATED.
# StoriesF—# Units (if Res) ;
New/Add SFF77777
OWNER'S NAME
Owner's Address
Remodel SFF- Garage/New/Add
Last )MATSLER First
Owner's E-mail Address
1700 SKYLARK LANE
City NEWPORT BEACH State CA Zip 92660 Telephone
APPLICANT'S NAME Last HIRAMI FirstMARK
Applicant's Address Applicant's E-mail Address
9460 MIRA MESA BLVD STEL HIRAMIMARK@GMAIL.COM
..------.
—--___._-- -- ---------
---____ ____..__.
City SAN DIEGO State CA Zip 92126 Telephone 6263542872
ARCHITECT/DESIGNER'S NAME Last HIRAMI First MARK Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
1. 5 1. 20 S MOUNTAIN AVE HIRAMIMARK@GMAIL.COM
City CLAREMONT State CA Zip 91711 Telephone 6263542872
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
---- ------
City State Zip Telephone��
CONTRACTOR'S NAME/COMPANY IENERGY ELECTRIC SOLAR Lic No.1055114 Class C
Contractor's Address Contractor's E-mail Address
9460 MIRA MESA BLVD STE 11 L tom@ngoelectric.com
__ -
City SAN DIEGO State CA Zip 92126 Telephone 619-315 8424
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO �`iA 1 1 " b� p r PLAN CHECK FEES $
I Valuation
6*��7
F. I
Material/Laa bor
Owner's E-mail Address
1700 SKYLARK LANE
City NEWPORT BEACH State CA Zip 92660 Telephone
APPLICANT'S NAME Last HIRAMI FirstMARK
Applicant's Address Applicant's E-mail Address
9460 MIRA MESA BLVD STEL HIRAMIMARK@GMAIL.COM
..------.
—--___._-- -- ---------
---____ ____..__.
City SAN DIEGO State CA Zip 92126 Telephone 6263542872
ARCHITECT/DESIGNER'S NAME Last HIRAMI First MARK Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
1. 5 1. 20 S MOUNTAIN AVE HIRAMIMARK@GMAIL.COM
City CLAREMONT State CA Zip 91711 Telephone 6263542872
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
---- ------
City State Zip Telephone��
CONTRACTOR'S NAME/COMPANY IENERGY ELECTRIC SOLAR Lic No.1055114 Class C
Contractor's Address Contractor's E-mail Address
9460 MIRA MESA BLVD STE 11 L tom@ngoelectric.com
__ -
City SAN DIEGO State CA Zip 92126 Telephone 619-315 8424
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO �`iA 1 1 " b� p r PLAN CHECK FEES $