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HomeMy WebLinkAboutPV2021-264 - Permit ApplicationPrinrForm Worksheet for Combo Building & Solar Permits Application [` Comm'I F Residential City of NOTE: PLAN CHECK oF E S DUE each - AT TIME OF uilding Division TTAL rBuilding rGrading rDrainage 9Elec rMech F] Plum cu YdcucF-- -- l Cu Yd Fill Project Address (Not mailing address) r Flood r Fire E Liq r Landslide rN/A Floor Suite No 31 Irvine Ave, Newport Beach, CA92663 Description of Work Use L i Const Type Electrical Solar PV installation,Roofmount 6.84kW. 18 Solar Panels and 18 Microinverters # Stories # Units (if Res) �I Valuation $ 17,852.00 —� New/Add SF F77777 Remodel SF� Garage/New/Add L Material/Labor OWNER'S NAME Last Moltz First Dave Owner's Address Owner's E-mail Address 31 Irvine Ave _ moltz@sbcglobal.net City Newport Beach State �CA Zip 92663 I Telephone949 8873681 APPLICANT'S NAME Lastertucci First Nick Applicant's Address Applicant's E-mail Address 815 Junipero Ave #115 info@renewableusa.com -- -- — — — City Signal Hill State CA Zip 90755 Telephone 14 852 9655 ARCHITECT/DESIGNER'S NAME Last Renewable USA First Lic No. 982201 i 1 Architect/Designer's Address Architect/Designees E-mail Address 815 Junipero Ave #115 info@renewableusa.com City Signal HillState CA Zip 90755 Telephone 888 416 1415 ENGINEER'S NAME Last Renewable USA First[_J Lic. No.982201 Engineer's Address Engineer's E-mail Address 815 Junipero Ave #115 nfo@renewableusa.com City Signal Hill State CA I Zip 90755 Telephone 888 416 1415 — CONTRACTOR'S NAME/COMPANY Renewable Energy Advantage INC Lic. No.982201 Class C-10 Contractor's Address Contractor's E-mail Address 815 Junipero Ave #115 info@renewableusa.com City Signal Hill State CA Zip 90755 _ Telephone888 416 1415 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $