HomeMy WebLinkAboutPV2023-0011 - Permit ApplicationPd,,tFord, Worksheet for Combo Building & Solar Permit Application
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r Comm'I r Residential PCHECK FEES DUE AT TIME OF`q
I
Division
NOTE: LAN SUBMITTAL � V LW v 11
rBuilding r Grading
rDrainage F_Elec rMech
r Plum CuvdCUT CuvdFill s
Project Address (Not mailing address) F_ Flood
r Fire r Liq r Landslide FN/A Floor Suite No
448 62nd St
Description of Work
Use F—ConstType solar
# Stories # Units (if Res)s
install modules, I inverter
Valuation $
New/Add SF 260
Remodel SF F Garage/New/Add r
14,000
Material/Labor
FP
OWNER'S NAME
Last Speyer-ofenber
First Leslie
Owners Address
Owner's E-mail Address
448 62nd St
speyerof@gmail.com
City Newport Beach
State CA
Zip F92657 Telephone 949-632-1289
APPLICANT'S NAME
Last Stablein
First Sam
Applicant's Address
Applicant's E-mail Address
2102 Alton Pkwy Suite B
sstablein@tesla.com
City Irvine
State CA
Zip 92606 Telephone 714-496-0688
ARCHITECT/DESIGNER'S NAME Last Sviatoslav First Jesus Lic. No. 888104/c-10
Architect/Designer's Address
Architect/Designer's E-mail Address
2102 Alton Parkway Suite B
jsviatoslav@tesla.com
Ciry Irvine
State CA
Zip 92606 Telephone
ENGINEER'S NAME
Last wu
First Philip Lic. No. 888104/C-10
Engineer's Address
Engineers E-mail Address
San Diego Tesla Office
pwu@tesla.com
City
State F_
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY Sam Stablein/Tesla
Lic. No. 888104 Class 446
Contractors Address
Contractors E-mail Address
2102 Alton Pkwy
sstablein@tesla.com
City Irvine
State CA
Zip 92606 Telephone 714-496-0688
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. PV2023-
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. PC-
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $