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HomeMy WebLinkAboutPV2022-0418 - Permit Applicationittfrxt Worksheet for Combo Building & Solar Permit Application F Comm I Ix Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r.Building rGrading (`Drainage XElec r-;Mech rPlum CuYdCut F CuYdFill � Project Address (Not mailing address) F_ Flood f— Fire F Liq I— Landslide N/A Floor Suite No 8 PAVONA Description of Work Use [_ Const Type TO INSTALL A ROOF MOUNTED SOLAR PHOTOVOLTAIC SYSTEM. THE POWER A%&es[2 #Units (if Res) GENERATED BY THE PV SYSTEM WILL BE _._.. INTERCONNECTED WITH THEUTILITY GRID THROUGH THE EXISTING ELECTRICAL SERVICE EQUIPMENT. (25) REC SOLAR REC400AA PURE BLACK (400W) MODULES(25) Valuation $ 34,000 ENPHASE IQ8A-72-2-US MICROINVERTERS(1) ENPHASE COMBINER BOX 4 Material/Labor OWNER'S NAME Last GILDENHUYS First ERIC Owner's Address Owner's E-mail Address 8 PAVONA City NEWPORT BEACH State CA Zip 92657 Telephone 949-466-5463 APPLICANT'S NAME Last MEDINA First BEN (]PERMIT) Applicant's Address Applicant's E-mail Address 31225 LA BAYA DR BEN@IPERMITCA.COM City WESTLAKE VILLAGE State CA Zip 91362 Telephone 818-735-7876 ARCHITECT/DESIGNER'S NAME Last I First F Lic. No.F Architect/Designer's Address ArchitecUDesignei's E-mail Address City State Zip F Telephoned ENGINEER'S NAME Last 1 — First I - Lic No.1 Engineer's Address Engineer's E-mail Address City State F Zip Telephone) CONTRACTOR'S NAME/COMPANY SWELL ENERGY Lic No. 1021183 Class C46,.C10 Contractor's Address Contractor's E-mail Address 1014 BROADWAY ST _ ap.swellservices@swellenrergy.com City SANTA MONICA State CA y F Zip 90401 310-3340-0493 PTelephone_1.. SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK USE ZONE DEVELOPMENT NO PLAN CHECK FEES $