HomeMy WebLinkAboutPV2022-0254 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
[- Comm'I Ix Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL °-.owe•'
FX—Building [- Grading
[—Drainage [- Elec [- Mech
[- Plum Cu vd Cut Cu Yd Fill
Project Address (Not mailing address) [- Flood
[- Fire [- Liq [- Landslide r—N/A Floor Suite No
2408 Santiago Dr
F
Description of Work
Use ConstType solar
# Stories[ # Units (if Res)
Removal and re-Instan of 2 1.64 Kw 17 34 modules, 3 inverters
Valuation
New/Add SF 1,518
Remodel SFF— Garage/New/Add F_
$
Material/Labor
OWNER'S NAME
Last Francis
First John
Owner's Address
Owner's E-mail Address
2408 Santiago Dr
jfrancisdesign@gmail.com
City Newport Beach
State CA
Zip 92660 Telephone 216-375-7632
APPLICANTS NAME
Last Stablein
First Sam
Applicant's Address
Applicant's E-mail Address
2102 Alton Pkwy Suite B
sstablein@tesla.com
Ciry Irvine
State CA
Zip 92606 Telephone 714-496-0688
ARCHITECT/DESIGNER'S NAME Last I First F Lic. No. F__
Architect/Designer's Address
Architect/Designer's E-mail Address
City I-
State F_
Zip F_ Telephoned_
ENGINEER'S NAME
Last De Vera
First Abe Lic. No. 888104/C-10
Engineer's Address
Engineer's E-mail Address
San Diego Tesla Office
adevera@tesla.com
City
State F_
Zip F- Telephoned
CONTRACTOR'S NAME/COMPANY Sam Stablein/Tesla
Lic. No. 888104 Class C46
Contractor's Address
Contractor's E-mail Address
2102Alton Pkwy
sstablein@tesla.com
City Irvine
State CA
Zip 92606 Telephone 714-496-0688
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. 'PY9,o2,Z-'o'Z
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. JV?,VV'L• JA e7o
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $