HomeMy WebLinkAboutPV2020-181 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o°�EgPoRe
F` CommT CX 'Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
["Building F_ Grading rDrainage F-, Elec rMech
F-PlumCu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) J_ Flood F Fire f— Liq [- Landslide FN/A Floor Suite No
109 Via Nice
i
Description of Work
Use F Const Type F
# Stories[2 # Units (if Res)
ns a I 14.08 KVV PV, 12 mod ules I inverter, I loadcenter,
Valuation $
New/Add SF 236 Remodel SF Garage/New/Add I--.----.—�I
27,000
Material/Labor
OWNER'S NAME Last Mungo
FirstKris
Owner's Address
Owner's E-mail Address
109 Via Nice
krismungo@gmail.com
City Newport Beach State CA
Zip 92663 Telephone 949-673-9054
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 First-- — Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State r
Zip [—-�I Telephone[
ENGINEER'S NAME Last
FirstF— -- — Lic No.
Engineer's Address
Engineer's E-mail Address
City _ State I
-----
Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Sam Stableinrresla
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. Y� t# tt ' I f71
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. A
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $