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HomeMy WebLinkAboutPV2023-0011 - Permit ApplicationPd,,tFord, Worksheet for Combo Building & Solar Permit Application (h1 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 $