HomeMy WebLinkAboutPV2021-081 - Permit Applicationpw 2u21- 0'8 1
'Print Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I Fx_ Residential'' 1,,,- City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
,Building F_ Grading rDrainage Elec (—Meth Plum cuvdCut l Cu Yd Fill
Project Address (Not mailing address) r Flood F_ Fire)�Liq [_ Landslide F_N/A Floor Suite No
370 Apolena Ave. a Cjl IOe ._
Description of Work
energy storage system 13.5kW
Storie!F— # Units
ValuaMn $
New/Add SF 325 Remodel SF F Garage/New/Add Material/Lal
OWNER'S NAME Last Rose First David
Owner's Address Owner's E-mail Address
310 Apolena Ave.
City Newport Beach State CA Zip 92662 Telephone (949) 706-1984
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
2102 Alton Parkway, Suite B mfoxxsarmiento@tesla.com
City -Irvine State CA Zip 92606 Telephone702-785-2998
ARCHITECT/DESIGNER'S NAME Last First
� Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
City _ _._ _ State Zip Telephoned
$7,500 enen
a
ENGINEER'S NAME Last First F Lic. No.r'
Engineer's Address Engineer's E-mail Address
City .. _ State Zip Telephone)
CONTRACTOR'S NAME/COMPANY Melissa Foxx-Sarmiento7Tesla Energy Lic. No. 888104 Class C-10
Contractor's Address Contractor's E-mail Address
2102 Alton Parkway, Suite B mfoxxsarmiento@tesla.com
City Irvine State CA Zip 92606 Telephone 702-785-2998
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. t
USE ZONE DEVELOPMENT NO ' �� PLAN CHECK FEES $