HomeMy WebLinkAboutXR2022-2981 - Permit Applicationit
Print ForTA Worksheet for Combo B�uiBdang & SolarDivision
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City of 2 �fComm I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F_ Building r Grading [—Drainage r Elec r— Mech r Plum CuYdCut F CuYdFill F
Project Address (Not mailing address) r Flood r Fire r— Liq r Landslide f N/A Floor Suite No
8 PAVONA FF__
Description of Work Use Const Type
INSTALL ADVANCED ENERGY SYSTEM: (2) TESLA POWERWALL 2 AC
BATTERIES SYSTEM (10KW, 27KWH) (1) TESLA BACKUP GATEWAY 2 WITH INTERNAL PANELBOAf�g{t�ries� #Units (if Res)
BACKUP LOADS PANEL (1) AC DISCONNECT
Valuation $ 30,000
New/Add SF �— Remodel SF Garage/New/Add �— Material/Labor
OWNER'S NAME Last GILDENHUYS First ERIC
Owner's Address Owner's E-mail Address
8 PAVONA
City INEWPORT BEACH State CA Zip 92657 Telephone 949-466-5463
APPLICANT'S NAME Last MEDINA First BEN (IPERMIT)
Applicant's Address Applicant's E-mail Address
31225 LA BAYA DR BEN@IPERMITCA.COM
City WESTLAKE VILLAGE State CA Zip 91362 Telephone 1 818-735-7876
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. �—
Arch itect/Designer's Address Architect/Designer's E-mail Address
City �— State �— Zip Telephone
ENGINEER'S NAME Last �— First F Lic. No.1—
Engineer's Address Engineer's E-mail Address
City I State I Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY SWELL ENERGY Lic. No. 0021183 Class F46, C10
Contractor's Address Contractor's E-mail Address
1014 BROADWAY ST ap.swellservices@swellenergy.com
City SANTA MONICA State CA Zip 90401 Telephone 1 310-340-0493
SETBACKS REAR SETBACKS FRONT PERMIT NO. X 8 W Z Z-- Zq � 6
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. pc zozz _-
z93 7
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $