HomeMy WebLinkAboutPV2023-0270 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application Amw1Comm] GZ Residential City of Newport Beach - Building Division
NOTE_ PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
D?Building F- Grading rDrainage GZ Elec F Mech r Plum Cu Yd Cut F_Cu Yd Fill F_
Project Address (Not mailing address) r Flood F_ Fire r Liq j Landslide rN/A Floor Suite No
2701 EBBTIDE ROAD
—7'Tj�[�
2 C7 F
.. GA -
Description of Work
INSTALL d ROOF
Use F—ConstType
MOUNTED SOLAR PHOTOVOLTAIC
SYSTEM
(20) RFC SOLAR RRC400A PURR Rl ACR (40OW) MODULES
(20) ENPIIASE IQ8A-72-2-US {24OV) MICROINVERTERS
# Stories # Units (if Res)F
(1) ENPILISE COMBINER BOX 4
New/Add SF F_Remodel SF F_.
Valuation $
Garage/New/Add—', Material/Labor
OWNER'S NAME Last
LARK
First BRUCE
Owner's Address
Owner's E-mail Address
SAME
City �—
State Zip — Telephone 949-394-3025
APPLICANT'S NAME Last MEDINA
First BEN
Applicant's Address
Applicant's E-mail Address
131225 LA BAYA DR
BEN@IPERMITCA.COM
City ESTLAKE VILLAGE
State CA
Zip 9136� 2 Telephone818-735-7876
ARCHITECT/DESIGNER'S NAME
Last F— First F_
_ Lic. No. F__
Architecl/Designers Address
Architect/Designer's E-mail Address
City �
', State �-
Zip F_ Telephone F_
ENGINEER'S NAME Last
_
First F Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State CA
Zip Telephonel�_-- - ---
CONTRACTOR'S NAME/COMPANY
SWELL ENERGY
Lic. No. 1021153 Class F46
Contractor's Address
Contractor's E-mail Address
1014 BROADEWAY ST
City SANTA MONICA _...
State CA
Zip 90401 Telephone 10-340-0493 .
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK No.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $