HomeMy WebLinkAboutPV2022-152 - Misc (3)PA62.2 - ►s-%
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
WILDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915
www.newportbeachca gov 1 (949) 644.3200
PART 1: To be completed BEFORE PERMIT ISSUANCE
JOSSITE ADDRESS:
_
5C) caCia Corona 17e\ M ox
CONTRACTOR NAME:
CONTRACTOR STATE LICENSE #:
CO rvle� .. 3CAOX
PANEL MAKE #:
C.('i988-GO
PANEL MODEL #:
L-C'V, i
1-R4- GOO ?b-3(ob(Y)
PART 2: To be completed PRIOR TO INSPECTION REOUt: ty
and placed with jobsite inspection card T
I, __�VC �}�AeXl__— declare that the PV module make and model
�I8r9'1' NANF;
number, quantity, and location are Installed as per the approved plans. Module
manufacturer, make, model and number, fire classifications of modules, and
brackets match the approved plans for the project located at the above
refer -ended address within the City of Newport Beach.