HomeMy WebLinkAboutPV2021-128 - Permit Application (2)�(`>alti4'Itig
Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
F- Comm'I rj Residential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F
YdFill r
rBuilding FGrading
rDrainage CXElec (7'••Mech r7Plum Cu YdCut
Cu
Project Address (Not mailing address) r Flood F_ Fire r Liq 17 Landslide (—;N/A Floor Suite No
1437 Dolphin Terrace
on of Work Use F Const Type F
of a roof mounted Solar PV system,l6kW, 42 panels.
# Stories # Units (if Res f —
Valuation $
New/Add SF�— Remodel SFF_ Garage/New/Add F_ Material/Labor
OWNER'S NAME Last
Owner's Address
First
Owner's E-mail Address
11437 Dolphin Terrace
City FNewport Beach State CA Zip 92625 Telephone
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 r—
Applicant's E-mail Address
ENGINEER'S NAME Last ----- _ _ First r--- Lic No.F7777
Engineer's Address
City State
---
Engineer's E-mail Address
..........
Zip r� Telephones
CONTRACTOR'S NAME/COMPANY peak Power Solutions Lic No..973253 Class Fc,0
Contractors Address
151 Kalmus Dr Suite L2
City Costa Mesa State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
niko@effectenergy. or,g
Zip 92626 Telephone 14-258-3900
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $