HomeMy WebLinkAboutX2019-3807 - Permit ApplicationPrint 1 orm Worksheet for Combo Building &Solar Permit Application C�""°°m
r Comm'I r Residential City of Newport Beach - Building Division £
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 54[pwM�
[X—Building r— Grading
rDrainage rElec rMech F7 Plum Cu YdCutF Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Land ide rN/A Floor Suite No
4 Vernon
F__
Description of Work
Use F Const Type
27kWh Energy storage system
# StoriesF # Units (if Res)F_
Valuation
New/Add SF F_
Remodel SF � Garage/New/Add
$ 20,000
Material/Labor
OWNER'S NAME
Last Goglanian First Steven '..
Owner's Address
Owner's E-mail Address
24 Vernon
sgoglanian@gmail.com
City Newport
State CA Zip 92657 Telephone(714) 625-5420
APPLICANT'S NAME
Last Deng ''. First ommy
Applicant's Address
Applicant's E-mail Address
2102 Alton Parkway
ommdang@tesla.com
City Irvine
State CA Zip 92606 Telephone949-468-6014
ARCHITECT/DESIGNER'S NAME Last First F Lic. No.
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
City _. _
,, State Zip Telephoned
ENGINEER'S NAME
Last First Lic. No.�'',
Engineer's Address
Engineer's E-mail Address
City
State F___ Zip F_ Telephone
CONTRACTOR'S NAME/COMPANY
elsa Energy Lic. No. ;&;; Class C-46
Contractor's Address
Contractor's E-mail Address
102 Alton Parkway
tommdang@tesla.com
City Irvine
State CA Zip 92606 Telephone 949-468-6014
SETBACKS REAR
SETBACKS FRONT PERMIT NO. l
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $