HomeMy WebLinkAboutPV2023-0310 - Misc-Vv Z0z3 -bab
",EWP°RT CITY OF NEWPORT BEACH
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} x , COMMUNITY DEVELOPMENT DEPARTMENT
~' BUILDING DIVISION
V T 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
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r'(G) FOnN www.newportbeachca.gov 1 (949) 644-3200
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SOLAR CONTRACTOR DECLARATION
Keep with Inspection card.
This form is for the Inspector to take at time of final inspection
PART 1: To be completed BEFORE PERMIT ISSUANCE
JOBSITE ADDRESS:
114 E. Oceanfront
CONTRACTOR NAME:
CONTRACTOR STATE LICENSE #:
Enlightened Solar
1064613
PANEL MAKE #:
PANEL MODEL #:
Hanwha Q Peak
I Duo BLK ML G10+400
PART 2: To be completed PRIOR TO INSPECTION REQUEST
and placed with jobsite inspection card
DECLARATION:
I, Josh Held declare that the PV module make and mode
(PRINT NAME)
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
referenced address within the City of Newport Beach.
(SIGN. ' �
1/12/24
(DATE)