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HomeMy WebLinkAboutPV2023-0101 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application r Comm'I rX Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [-Building Grading rDrainage rX_ Elec r Mech j- Plum Cu Yd Cut CuYd Fill Project Address i 966 Port Nelson Place of Work 1 address) F- Flood r Fire r Liq j- Landslide F_N/A Floor Suite No Ilnstall (34) Solaria 400 Watt Modules, (34) Enphase IQ Microinverters, (2) Enphase IQ Batteries New/Add SF F— Use R3/U ConstType/ B # Storiesv- # Units (if Res)F— Valuation $ 2 880 Remodel SF �- Garage/New/Add �— Material/Labor OWNER'S NAME Last PANDF Owner's Address 1966 Port Nelson Place City Newport Beach APPLICANT'S NAME Last VVmstc First Owner's E-mail Address iravi.r.gandhi@gmaii.com State FA— Zip 2660 TelephoneF First Applicant's Address Applicant's E-mail Address _ Holland #215 ihelppolice2@gmail.com City Irvine State FA — Zip F2618 Telephone 14.493.8473 ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. F _ Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F— Telephonel— ENGINEER'S NAME Last ITnuong First Phong Lic. No. 770784 Engineer's Address Engineer's E-mail Address 000 E. Birch Street, Suite 201 info@yoursolarplans.com City Brea State CA Zip 92821 Telephone 44-PV-ELITE CONTRACTOR'S NAME/COMPANY untrek Industries Inc Lic. No. 59460 Class F46, C10 Contractor's Address Contractor's E-mail Address 5 Holland #215 than@suntreksolar.com City Irvine State NA — Zip 92618 Telephone 49.348.9276 SETBACKS REAR SETBACKS FRONT PERMIT NO. W-ws - 61 61 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. V VJ9> - DS?6 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $