HomeMy WebLinkAboutPV2021-128 - Permit Application�(ti0ti4'1�8
°r*nfForrx Worksheet for Combo Building & Solar Permit Application
Comm'I r', City of Newport Beach - Building Division
Residential
-- NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
f—Building r Grading f7Drainage rXElec I—Mech i" Plum Cu Yd cut' Cu Yd Fill
Project Address (Not mailing address) [_ Flood j— Fire i— Liq I— Landslide F_N/A Floor Suite_ No
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1437 Dolphin Terrace F_ i
Description of Work
Installation of a roof mounted Solar PV system, 16kW, 42 panels.
Use Const Type F_
# Stories # Units (if Res),.
t._ _._....... ...__. ___ ...._
Valuation $
New/Add SF1 Remodel SFF Garage/New/Add —', Material/Labor
OWNER'S NAME Last
Owner's Address
11437 Dolphin Terrace
City Newport Beach State CA
APPLICANT'S NAME Last
Applicant's Address
1007 W Grove Ave
City Orange State CA
ARCHITECT/DESIGNER'S NAME Last
.................... ..
Architect/Designer's Address
City State
Applicant's E-mail Address
ENGINEER'S NAME Last F— First �—',, Lic No F�'i
Engineer's Address
City State I
Engineer's E-mail Address
Zip F—_— Telephone
CONTRACTOR'S NAME/COMPANY Peak Power Solutions Lic. No. 973253 Class C10
Contractor's Address
1. 151 Ka Imus Dr Suite L2
City Costa Mesa State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
n iko@effectenergy.org
Zip 92626 Telephone 14-258 3900
PERMIT N0.
PLAN CHECK N0,
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $