HomeMy WebLinkAboutPV2021-046 - Permit ApplicationYA u7jI ® 04LP
Print For Worksheet for Combo Building & Solar Permit Application o4`'`q`°"e
F– Comm'l r Residential City of Newport Beach - Building Division 1
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c =''
rBuilding F_ Grading rDrainage F_Elec I—Mech rPlum CuvdCut Cu Yd Fill
Project Address (Not mailing address) F_ Flood F_ Fire I° Liq F_ Landslide rN/A Floor Suite No
Description of Work
Use I— Const Type F_
# Stories # Units (if Res)F
Install ts. 16 K`vVPV,
o u es, I Inverter, 27 K energy storage system
New/Add SF 472 Remodel SF Garage/New/Add �'
Valuation $ [34,000
Material/Labor
OWNER'S NAME Last Chisholm First Glenn
Owner's Address
Owner's E-mail Address
1854 Port Renwick PI
gchisholm@mac.com
City Newport Beach
State CA Zip 92660 Telephone 562-217-7982
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 First F Lic. No. .
Architect/Designees Address
ArchitecUDesigner's E-mail Address
City ,..
—
State r--. Zip-- Telephone
ENGINEER'S NAME Last
First F Lic. NoF
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F_ Telephoner—
elephonedCONTRACTOR'S
CONTRACTOR'SNAME/COMPANY
Sam Stablein/Tesla Lic. No. 888104 Class C46
Contractor's Address
Contractor's E-mail Address
2102 Alton Pkwy
sstablein@tesla.com
City Irvine
State CA Zip 92606 Telephone 714-496-0688
ZO2a11—
SETBACKS REAR
SETBACKS FRONT PERMIT NO. x'(�Z.\ C)Zga
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $