HomeMy WebLinkAboutPV2021-057 - Permit ApplicationPrint Foam Worksheet for Combo Building & Solar Permit Application (29-17.),Comm I � Residential City of Newport Beach - Building Division tiO�%��NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
IX—Building F_ Grading
F -Drainage FIElec F-Mech F- Plum CuvdCut CuvdFill
Project Address (Not mailing address) rFlood I° Fire I' Liq r Landslide F_N/A Floor Suite No
219 Via Nice
r-__— I
Description of Work
Use I— Const Type F_
# Storiesf 2 # Units (if Res)[—
instal lation of new roormoun
e photovoltaic sys em 6. 1 6kvv With mod u es, r inve er
Valuation $ 15,000
Material/Labor
New/Add SF 472
Remodel SF F Gara a/New/Add F
9
OWNER'S NAME
Last King First Forest
Owner's Address
Owner's E-mail Address
219 Via Nice
City Newport Beach
State CA Zip 92663 Telephone (949) 373-5060
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 First—' Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �--- Zip [_i Telephone --
ENGINEER'S NAME
Last First F---- Lic NJ—
Engineer's Address
Engineer's E-mail Address
City
State �-- Zip Telephoner -------
CONTRACTOR'S NAME/COMPANY Melissa Foxx-Sarmiento/Tesla Energy Lic. No. 888104 Class F10
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. � _Vg�n
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $