HomeMy WebLinkAboutX2021-2267 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit
j Application o
Comm'I (X Residential INewport (zW�
NOTE: PLAN HEKFEES UE AT TME OF SUBMITTAL ��7l
rBuilding F_ Grading
rDrainage r-Elec F_Mech F- Plum CuvdCut l Cu YdFill l
Project Address (Not mailing address) F Flood j- Fire r Liq F Landslide rN/A Floor Suite No
2697 Bayshore Dr.
Description of Work
Use RESI Const Type ADD
# Stories # Units (if Res)[
(2) TESLA POWERWALLS
Valuation $ 15000
Material/Labor
New/Add SF 234
Remodel SF �_..�_ Garage/New/Add r
OWNER'S NAME
Last Belling First Phil
Owner's Address
Owner's E-mail Address
2695 Bayshore Dr.
pbelling@lbarealty.com
City NEWPORT BEACH
State CA Zip 92663 Telephone(949) 955-9300
APPLICANT'S NAME
Last RODRIGUEZ First LUIS
Applicant's Address
Applicant's E-mail Address
358 CORAL CIRCLE
ENGINEERING@XEROSOLAR.COM
City EL SEGUNDO
State CA Zip 90245 Telephone 3103768740
ARCHITECT/DESIGNER'S NAME Last r-- First r_--_V�—
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F Zip �� Telephone
ENGINEER'S NAME
Last First F— Lic. No.r�
Engineer's Address
Engineer's E-mail Address
City--�
State (` Zip Telephoner
CONTRACTOR'S NAME/COMPANY BEN LOCHTENBERG / XERO SOLAR Lic. No. 992157 Class C10
Contractor's Address
Contractor's E-mail Address
358 CORAL CIRCLE
ENGINEERING@XEROSOLAR.COM
City EL SEGUNDO
State CA Zip 90245 Telephone3103768740
SETBACKS REAR
SETBACKS FRONT PERMIT NO. X Z OZ//I - 2 7
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. l ai70 202
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES S