HomeMy WebLinkAboutPV2021-094 - Permit ApplicationPrint Form ''
Wor t for Combo Building & Solar Permit Application
r Comm'I jX Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Gradinglnage (W Elec rMech r Plum Cu Yd Cut r_ Cu Yd Fill
Project Address (Not mailing address) I_ Flood F_ Fire r Liq F— Landslide I/A Floor Suite No
5 Giverny
F (
Description of Work
Use r- Const Type F_
Installation of new roof-mou nted ohotnvoltaic system 5.1 kW with
new wall -mounted energy storage system 13.5kW
15 modules 1 imp rt r and
# StoriesF2 # Units (if Res)F
Material/Labor
Valuation $ t,�10
New/Add SF 295 Remodel SFr---
Garage/New/Add � -- — —
OWNER'S NAME Last Tognoli
First John l)"'
Owner's Address
Owner's E-mail Address
5 Giverny
J
City Newport Beach State CAZip 92657 Telephone (310) 497-5319
APPLICANT'S NAME Last Foxx-Sarmiento First Melissa
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
AR ECT/DESIGNER'S NAME Last
First Lic. No. I—
Architect/Designees Address
Architect/Designees E-mail Address
City State F--•
Zip F_ Telephoner—
ENGINEER'S NAME Last First nriwl fi/]/ Lic. No.F----
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Engineer's Addresses
- ayil A,r- ddress �•
uj�q
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City f�/j �� ate
. JAIL
Zip �� ele hon j
1 f (J lj�
CONTRACTOR'S NAME/COMPANY Melissa Foxx-Sarmiento/Tesla 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 Telephone702-785-2998
SETBACKS REAR SETBACKS FRONT
s
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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