HomeMy WebLinkAboutPV2022-177 - Permit Applicationr\ 20 Z2- ll 1
Worksheet for Combo Building & Solar Permit Application
j- Comm'I (Xi Residential City of Newport Beach - Building Division GyoAY''F
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r;Building (— Grading 1-Drainage F Elec Mech Plum Cuvd cut ; Cu vd Fill
Project Address (Not mailing address) [7 Flood r Fire F_ Liq 17.1 Landslide F7N/A Floor Suite No
205 Amethyst Avenue F_ C
Description of Work Use Const Type
Installation of (10) Solar panels with (10) microniverters on a roof deck Panel is 370 watt each.
below)
New/Add SFF777777 Remodel SFFT77777 Garage/New/Add F—,
OWNER'SNAME Last Bohlinger First Peter
Owner's Address Owner's E-mail Address
# Stories[— # Units (if Res)F
Valuation $
Material/Labor
05 Amethyst Ave
City
State
CA
Zip 92662
Telephone 310-863-1988
Newport Beach
APPLICANT'S NAME Last Bartz First Bradley' -
Applicant's Address
4454 Hawthorne Blvd
Cdy orrance State CA _
Applicant's E-mail Address
olar@abcsolar.com
Zip 90505 Telephone 310-373-3169
ARCHITECT/DESIGNER'S NAME Last Bartz First Bradley Lic. No. 14346
Architect/Designees Address
4454 Hawthorne Blvd
City orrance _. State CA
Architect/Designer's E-mail Address
olar@abcsolar.com
Zip 0505 Telephone 310-373-3169
ENGINEER'S NAME Last Bartz First Bradley Lic. No.(91434�6
__.__._ .._------- ...----_... _.. _...... ! _...
Engineer's Address
4454 Hawthorne Blvd
City orrance State CA
Engineer's E-mail Address
olar@abcsolar.com
Zip 90505 Telephone 310-373-3169
CONTRACTOR'S NAME/COMPANY gC SOLAR INCORPORATED Lic. No. 914346 Class F, C-46
Contractor's Address Contractor's E-mail Address
24454 Hawthorn11 e Blvd olar@abcsolar.com
City orrance State CA Zip 90505 Telephone(310-373�3169
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
`5y'� •u2v
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $