HomeMy WebLinkAboutPV2021-071 - Permit ApplicationPrint Foam Worksheet for Combo Building & Solar Permit Application ®RS
Comm'I F Residential City of Newport Beach - Building Division Fv Lo?A O i1NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rXBuIIding [ Grading
g (K, Elec Mech Plum Cucu Yd cut
rDraina a F_ [! Cu Yd Fill � '—
Project Address (Not mailing address) F_ Flood r Fire r" Liq F-, Landslide F. -N/A Floor Suite No
2601 Blackthorn St
Description of Work
Use :Const Type
35 PV panels/35 micro Inverters to be installed on existing roof
DC: 11.543kW. Combiner Subpanel AC Disconnect
# Stories1 l # Units (If Res)_
(1)
(1)
Valuation $
Material/Labor 4,000.00 III
New/Add SF 389.48
Remodel SF �!I Garage/New/Add i
OWNER'S NAME
Last I Glglla First Brian & Erin
Owner's Address
Owner's E-mail Address
St
cityBlackthorn
City Newport Beach
State ca Zip 92660 Telephone 949-278-5295
APPLICANT'S NAME
Last Belmont First Joseph
Applicant's Address
Applicant's E -mall Address
3291 Peralta Unit B2
ennishurtado0o9@outlook.com
Cl Ne eh.
- _.,
�I ('� State ca Zip 92653 Telephone 9497935544
1
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designers Address
Architect/Designers E-mail Address
City �—
----------- -
...__-.,, State—'... Zipi, Telephone'
ENGINEER'S NAME
Last FirstLic. No.F
Engineer's Address
Engineer's E-mail Address
City �—
State Zip TelephoneF—
CONTRACTOR'S NAME/COMPANY Belmont Energy Inch Lic. No.63824 Class cl0c46
Contractor's Address
Contractors E-mail Address
23291 Peralta Unit B2
dennishurtado009@outlook.com
City Laguna Hills
State ca Zip 926353 Telephone 9497935544
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 'p U r�v 2� • b
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. � D*,w2,I
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $