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HomeMy WebLinkAboutPV2021-192 - Permit ApplicationN2l 7H612 Print Form Worksheet for Combo Building & Solar Permit Application o��EW�Rm I— Comm'I rX Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FX"Building j` Grading F-Drainage r Elec Mech Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) I_ Flood Fire [_ Liq f— Landslide f N/A Floor Suite No F23 Ave. River Description of Work Use Const Type # Stories #Units (if Res) Installation of new solar roof system I11 ?Sk AI with 143 solar roof tiles 2 inverters and new wall - mounted energy storage system 27kW $ New/Add SF 628 Remodel SF Garage/New/Add F_ Valuation $60,000 total, $15,001 Material/Labor OWNER'S NAME Last Sharp First Jody Owner's Address Owner's E-mail Address 5223 River Ave. City Newport Beach State CA Zip 92663 Telephone (714) 863-0904 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 rv1®- First f Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F Zip Telephone ENGINEER'S NAME Last First Lic. No. F_ Engineer's Address Engineer's E-mail Address City State F Zip F Telephone 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 Telephone 702-785-2998 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $