HomeMy WebLinkAboutRev21-0567 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I fX— Residential City of Newport Beach - Building Division 04V —O
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL v
rBuiIding r Grading
r..Drainage r-Elec rMech r Plum cuvdCut Cu yd Fill
Project Address (Not mailing address) F_ Flood F_ Fire F_ Liq XLandslide F_.N/A Floor Suite No
21 Ferrand, Newport Beach, CA 92657, US F—''
Description of Work
Use .SFR Const Type
Solar/Powerwall install. 12mosules4081
Powerwall135KWH.1 gatewa;.I inverter. 1 load
# Stories # Units (if Res)
center. All equipment outside.
New/Add SFF
Remodel SF_ Gara a/New/Add �',
9
Valuation $ 20000.00
Material/Labor
OWNER'S NAME
Last Tsai First FmonTa
Owner's Address
Owner's E-mail Address
21 Ferrand
missionhillsmed@sbcglobal.net
City Newport Beach,
State CA Zip 92657 Telephone 1 (714) 329-0348
APPLICANT'S NAME
Last Magnuson First Kimberly
Applicant's Address
Applicant's E-mail Address
2102 Alton Pkwy B
kimagnuson@tesla.com
City Irvine
State CA Zip 92606 Telephone F 714-483-1793
ARCHITECT/DESIGNER'S NAME Last First
,.'i Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
_. State F_ Zip F_ Telephoned
ENGINEER'S NAME
Last First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
_. _ State F_ Zip Telephone
CONTRACTOR'S NAME/COMPANYLic.
Tesla Energy Operations No. 888104 Class C46
Contractor's Addre$s
Contractor's E-mail Address
2102 Alton Pkwy. B.
City Irvine
State CA Zip 92606 Telephone 714-483-1793
y,
SETBACKS REAR
m
SETBACKS FRONT PERMIT NO. ?V2A
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
IL