HomeMy WebLinkAboutX2021-2175 - Permit ApplicationX2,0 2/1 - ZI -7S (-7 VC(IPI--�_�ro
Print Form Worksheet for Combo Building & Solar Permit Application
Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading j ,Drainage [_Elec rMech r Plum cuvdCut F CuvdFill F
Project Address (Not mailing address) r Flood F_ Fire r Liq f - Landslide FN/A Floor Suite No
F F
17 Palazzo
Description of Work
Use F—Const Type
# Stories[— # Units (if Res)r—••'
Adding new wa - o j nted energy storage system yin in o existing p o o aic sys a
Valuation5
SFFRemodel SFrGara a/New/Add--,
9
5,000New/Add
Material/Labo'
Fs
OWNER'S NAME Last Eifrig First Charles
Owner's Address Owner's E-mail Address
17 Palazzo
City Newport Beach State CA Zip 92660 Telephone
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 Telephone 702-785-2998
ARCHITECT/DESIGNER'S NAME Last First F Lic No. F—
Architect/Designer's Address Architect/Designees E-mail Address
City State F Zip ----I Telephone —
city
ENGINEER'S NAME Last First Lic. No.
Address Engineer's E-mail Address
City �— ' State F- Zip F---.--�\ Telephone—'..
_.
CONTRACTOR'S NAME/COMPANY Melissa Foxx-Sarmiento/resla 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. X LS�/Cit C_l f S
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ( Q]?j
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $