HomeMy WebLinkAboutPV2022-059 - Permit ApplicationPrint Form Works eet for Combo Building &Solar Permit A lication
City of Newport Beach - Building Divisio
Comm'I [1 Residential _ ITT
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rx-]Building [Gradinginage [Flet [Meth r - Plum cuvacucFCu Yd Fill
Project Address (Not mailing address) i-1 Flood [ Fire r Liq ❑ Landslide XIA Floor JJJ Suite No
633 Cameo Highlands Drive Newport Beach, CA 92625
Description of Work
New PV installation, roof mounted, 12.4 kW system size, 31 modules, main breaker
dorated franc 200A to 175!1
Use n Const Type L
# Stories❑ # Units (if Res)F
g $
I Valuation
New/Add SF Remodel SF Gara a/New/Add Material/La
OWNER'S NAME Last
Owner's Address
833 Cameo Highlands Drive— --- —
City rewport Beach —
APPLICANT'S NAME Last
Owner's E-mail Address
tracytheodora@gmail.com
StateCA Zip 92825 —
31
Applicant's Address
5750 Imhoff Drive #A --- —
City Concord - - -- _---� State CA First
----
First
Applicant's E-mail Address
emai@kotaenergygroup.com
94520 - 510-871-0081
Zip Telephone
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address
City �— - - J State L
Architect/Designer's E-mail Address
Zip Telephone
ENGINEER'S NAME Last �Ij�lli '1�j� � First � qm_ff
LiEngineer's Address Engineer's E
City State Zip 7771TelephoneJ
CONTRACTOR'S NAME/COMPANY Kota Construction LLC Lic. No. 1083901 j Class C10
Contractor's Address
5205 Avenida Encinas #D
City -Carlsbad ---------- --- -- State CA --�
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
emai@kotaenergygroup.com
p 93012 p J
Zi Telephone 510-871-0081
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO V%CJI �f� I /rLIN CHECK FEES $