HomeMy WebLinkAboutPV2023-0072 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
(" Comm'I (X Residential City of Newport Beach - Building Division �JZ�23-COW
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
>< Building j— Grading
rDrainage F_ Elec r Mech
F Plum cuYdCut CuvdFill
Project Address (Not mailing address) r Flood
F_ Fire r Liq F_ Landslide Floor Suite No
53 Clermont
Description of Work
Use F—ConstType solar
Stories 2.CT,1 # Units (if Res)
inverters,y storage system#
SF
FValuation
pV:
$ 16,000, ESS:18,00(390.00000000FMaterial/LaborNew/Add
A
OWNER'S NAME
Last Shahram
First Sohrab
Owner's Address
Owner's E-mail Address
53 Clermont
shahrams@cox.net
City Newport Beach
State CA
Zip 92657 Telephone 949-838-7676
APPLICANT'S NAME
Last Stablein
First Sam
Applicant's Address
Applicant's E-mail Address
2102 Alton Pkwy Suite B
sstablein@tesla.com
City Irvine
State CA
Zip 92606 Telephone 714-496-0688
ARCHITECT/DESIGNER'S NAME Last Arcea First Dylan Y Lic. No. 888104/c-10
Architect/Designer's Address
Architect/Designer's E-mail Address
2102 Alton Parkway Suite
B
darcea@tesla.com
City Irvine
State CA
Zip 92606 Telephone
ENGINEER'S NAME
Last Childs
First Jim Lic. No. 888104/C-10
Engineer's Address
Engineer's E-mail Address
San Diego Tesla Office
jchilds@tesla.com
City
State F_
Zip I Telephoned
CONTRACTOR'S NAME/COMPANY Sam Stablein/Tesla
Lic. No. 888104 Class C46
Contractor's Address
Contractor's E-mail Address
2102 Alton Pkwy
sstablein@tesla.com
City Irvine
State CA
Zip 92606 Telephone 714-496-0688
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $