HomeMy WebLinkAboutPV2021-212 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit yA/pplication
r Comm'I F, Residential City of Newport Beach - Building Division V V'�_D z1 • 2-12--
NOTE:
IZNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
❑Building ❑Grading Drainage riElec ❑Meth r Plum
Project Address (Not mailing address) Flood r; Fire [ Liq
Cambria Dr Corona Del mar CA 92625
ascription of Work
system 7.03 KW DC, 19 Modules& 19 Mcroinverters
ENPHASEENCHARGE-10
Cu Yd Cut Cu Cu Yd Fill I —
[, Landslide (-N/A Floor Suite No
Use F_ Const Type
# StoriesC # Units (if Res)C
New/Add SF�!, RemodelSF�� Garage/New/Add!,
OWNER'S NAME Last I Chi
Owner's Address
37 Cambria Dr Corona Del mar CA 92625
City
CA
—77
City
Corona Del Mar
!I State
APPLICANT'S NAME Last
Applicant's Address
15375 BARRANCA PKWY # 1-104
City Irvine _ State CA I�
First Caroline
Owner's E-mail Address
carolinech i@yahoo.com
Zip 92625 Telephone510-325-3889
First
Applicant's E-mail Address
pm@altairsolar.com
Zip 92618 Telephoned
ARCHITECT/DESIGNER'S NAME Last - First Lic. No.
Architect/Designer's Address
City State �I!,
Architect/Designer's E-mail Address
Zip F_ TelephoneF-7777
ENGINEER'S NAME Last J First[ Lic No_E7__1
Engineer's Address
City State
Engineer's E-mail Address
Zip F Telephone
CONTRACTOR'S NAME/COMPANY LTAIR SOLAR Inc Lic No. 1001983 Class C46
Contractor's Address
15375 BARRANCA PKWY # 1-104
City
State
CA
IRVINE —
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
Contractors E-mail Address
Zip 192618
rsolar.com
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $