HomeMy WebLinkAboutPV2022-0429 - Permit Application[77Print Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
r Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
,Building r Grading rDrainage (— Elec r_ Mech J— Plum cued curl cu Yd Fill
Project Address (Not mailing address) Flood Fire F_ Liq j— Landslide [7N/A Floor Suite No
480 62NO STREET F I
of Work
Use SFD ConstType PV
OOF MOUNTED PV D SYSTEM (27) MODULES (27)MICROINVERTERS— # StoriesF— # Units (if Res)_
(1) COMBINER (1) AC DISCONNECT. DE -RATE MAIN BREAKERTO 175 AMPS
Valuation $ F27000
New/Add SFF -- Remodel SFF Garage/New/Add F—'. Material/Labor
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
480 62ND ST RD3LEGISTICS@GMAlL.COM
City NEWPORT BEACH State CA Zip 92663 Telephone 949-683-1817
APPLICANT'S NAME Last
First (SHERRY.
Applicant's Address Applicant's E-mail Address
2273 11TH STREET SHERRYMANLEY@VISIONCE.COM
City YUCAIPA State CA Zip 92399 __ Telephone 909-748-1300
ARCHITECT/DESIGNER'S NAME Last First F Lic No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
city State �— Zip F Telephone�—
ENGINEER'S NAME Last _ First �— Lic Nof
----
Engineer's Address
Engineer's E-mail Address
State—_..,
Zip �— TelephoneF
City
Lic No.
0009260 Class C46
CONTRACTOR'S NAME/COMPANY
ILUM SOLAR
I
Contractor's Address
Contractors E-mail Address
4135 NORTHGATE BLVD STE 9
SHERRYMANLEY@VISIONCE.COM
State
CA
Zip
95834 Telephone----
City
SACRAMENTO
SETBACKS REAR SETBACKS FRONT PERMIT NO. IN IMt-1,
^^ 'A74
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $