HomeMy WebLinkAboutPV2021-032 - Permit ApplicationWZo21-032
Print 1 ori�j Worksheet for Combo Building & Solar Permit Application o�?`w` .
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FX_ City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �,�.oa+"
rBuilding Grading rDrainage r,Elec rMech rPlum cuvdCut Cu YdFill F
Project Address (Not mailing address) [_ Flood f7 Fire Liq F_. Landslide F–,N/A Floor Suite No
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Description of Work
Use Const Type F_
# Stories # Units (if Res)[
Valuation $ 45,000
Material/Labor
Install modules, inverter, 54 KVV Energy Storage System
New/Add SF 551 Remodel SF �— Gara a/New/Add',
9
3L1a00_.
OWNER'S NAME Last Brewster
'K
First Lewis
Owner's Address
Owner's E-mail Address
121 Old Course Dr
lewis_brewster@maacom
City Newport Beach State CA
Zi 92660 Telephone 949-220-4197
P
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 Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F
Zip I Telephoned
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 Sam Stableinliesla
Lic. No. 888104 Class446
Contractor's Address
Contractor's E-mail Address
2102 Alton Pkwy
sstablein@tesla.com
City Irvine State CA
Zip 92606 Telephone 714-496-0688
FVZaZ( -C)37-
SETBACKS REAR SETBACKS FRONT
PERMIT NO. )aozO — 050z
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $