HomeMy WebLinkAboutPV2021-094 - Permit Application (2)NU11l014
Print Form Wor � t for Combo Building & Solar Permit Application
r-Comm'I FX_Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FxBuilding rW Grading
mage F_Elec j-Mech r- Plum CuvdCutF Cu Yd Fill
Project Address (Not mailing address) F Flood r- Fire F- Liq r` Landslide I/A Floor Suite No
5 Giverny
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Description of Work
Use r— Const Type r
Installation of new roof -mounted
photovoltaic system 5 1 kW with 15 modules. 1 ioyert r and
# Storiesr2 # Units (if Res)r—
new wall -mounted energy storage system 13.5kW
Valuation $
Material/Labor -'
New/Add SF 295
Remodel SFr— - -- Garage/New/Add rm ®m —
OWNER'S NAME
Last Tognoli First John 1 facs
Owner's Address
Owner's E-mail Address
5 Giverny
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city Newport Beach
State CA Zip 92657 Telephone (310) 497-5319
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
ARC ECT/DESIGNER'S NAME Last First r� Lic. No.
Architect/Designer's Address
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ArchitectlDesigner's E-mail Address
City----- -
State F- Zip r Telephone
ENGINEER'S NAME
Last Firstnt'n✓1 t7/'/ Lic. No.r--_---
Engineer's Address
Engineer's - allA'rddressV s �•
V cJs,
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V-JU Xl�� CAN _.
City ate Zip j elephon
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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
i
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. -
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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