HomeMy WebLinkAboutRev21-0567 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application ��`"°�qa
Comm'l FX Residential City of Newport Beach - Building Division VA -,O
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G.��oa��'
,Building F_ Grading
(-Drainage [Elec rMech r -Plum CuvdCut Cu rd Fn[
Project Address (Not mailing address) F_ Flood F- Fire f- Liq xLandslide r_N/A Floor Suite No
21 Ferrand, Newport Beach, CA 926579 US
I F—'
Description of Work
Use SFR Const Type r
Solar/ Powerwa 11 instal L 12 most
les 408 1 Powerwal113 5 KWH
1 gates 1 inverter, 1 load
# StoriesF2 # Units (if Res)1
All
center. equipment outside.
_.
_.
Valuation $
Material/Labor 20000.00
New/Add SF RemodelSF
Gara9a/New/AddF—
OWNER'S NAME
Last Tsai
First MonTa
Owner's Address
Owners E-mail Address
21 Fernand
missionhilismed@sbcglobal.net
City Newport Beach,
State CA Zip 92657 Telephone1 (714) 329-0348
APPLICANT'S NAME
Last Magnuson
First Kimberly
Applicant's Address
Applicants E-mail Address
2102 Alton Pkwy B
kimagnuson@tesla.com
City Irvine
State CA
Zip 92606 Telephone 714 483-1793
ARCHITECT/DESIGNER'S NAME Last
First F Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F
—
Zip F— TelephoneI
ENGINEER'S NAME
Last
First F Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip Telephone—
.
CONTRACTOR'S NAME/COMPANY Tesla Energy Operations Lic No. 888104 ClassC46
Contractor's Addre$s
Contractor's E-mail Address
2102 Alton Pkwy. B.
City Irvine
State CA
Zip 92606 Telephone 714-483-1793
-2--
SETBACKS REAR
SETBACKS FRONT
/,
PERMIT NO. iV?A2.1 A2914. Old
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. N0111- W 14-
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $