HomeMy WebLinkAboutPV2021-134 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
r Comm'I [Residential City of NewpNOTE: PLAN CHECKo rt FEES DUE AT TIME OF DivISUBMITTALP`1lU24 I I -b-4
rBuilding rGrading j`Drainage r'Elec r-Mech (—Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) C Flood r Fire r' Liq r Landslide FN/A Floor Suite No
9 VENETO, NEWPORT COAST, CA 92657 �!
Description of Work Use Const Type VB
Installation of a (M&W DC roof mounted solar system with 28 modules. 1 inverter and a batteryl
system.
# Stories #Units (if Res):
Valuation$ [23,800New/Add SFr— Remodel SFr—Garage/New/AddF_ Material/Labo(
OWNER'S NAME Last (Snider First
Owners Address Owner's E-mail Address
9 VENETO
�I
City Newport Coast State CA Zip 92657 Telephone
APPLICANTS NAME Last (Raymond First (Jesse
-
Applicant's Address Applicant's E-mail Address
24 Executive Park suite 230 Jesse@ocsolarinacom
City Irvine I State CA Zip 92614 Telephone 949.441.9386
ARCHITECT/DESIGNER'S NAME Last First F ------ 7 Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
City State F_ Zip I Telephone
ENGINEER'S NAME Last Zandieh First Arash Lic. No. C 82118
Engineer's Address
24 Executive Park suite 230
City Irvine State CA
Engineer's E-mail Address
info@ocsolarinc.com
Zip 92614 Telephone 949.427.8817
CONTRACTOR'S NAME/COMPANY Orange County Solar Lic. No. 0023627 Class B/C10
Contractor's Address
24 Executive Park suite 230
City Irvine State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
info@ocsolarinc.com
Zip 92614 Telephone 714.514 1517
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $