HomeMy WebLinkAboutPV2021-122 - Permit ApplicationWorksheet for Combo Building & boiar rernIlL I-
R111,11M. - =L City of Newport Beach - Building Division
F- Comm Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding Grading
Project Address
20 COLONIAL DR
of Work
F_,Drainage 17, Elec Mech r Plum Cu Yd
mailing address) T_ Flood Fire f—,, Liq (- Landslide
Cu Yd Fill
[7,N/A Floor Suite No
Use FSI . ConstType[ADD
# StoriesF # Units (if Res)F,
INSTALLING (12) PV MODULES (SYSTEM SIZE 4.74 KW) AND (2) TESLA POWERWALLS
Valuation 27,000
Garage/New/Add Material/Labor F
34
Remodel 5F
New/Add SFF
OWNER'S NAME Last
First
Owner's Address owner's E-mail Address
20 COLONIAL DR
[(�08)�2282-22311 3
State Zip F�2E6Telephone 8.
City FN7EWpORT BEACH
APPLICANT'S NAME Last
Applicant's Address
358 CORAL CIRCLE ---- -------------
City FELSEGUNDO State FA
Last First r I
ARCHITECT/DESIGNER'S NAME
Architect/Designer's Address
City State
ENGINEERS NAME LastF___�: FirstF�
Engineers Address
State
City
Engineer's E-mail Address
Telephone
Zip �
CONTRACTOR'S NAME/COMPANY BEN LOCHTENBERG / XERO SOLAR
Contractor's Address
358 CORAL CIRCLE
A C
City EPL SEGUNDO State F.11111.
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT � SETBACKS RIGHT
USE ZONE
DEVELOPMENT NO
First
Applicant's E-mail Address
ENGINEE ING@XEROSOLAR.COM
Zip3103768740
Lic. No. F
Architect/Designer's E-mail Address ....
Zip Telephone
F�
Lic. No.F_._.._-_._..
Lic. No. F992 �157 r Class F, 0
Contractor's E-mail Address
ENGINEERING@XEROSOLZAR.COM
Zip 90245 Telephone 3103768740
PERMIT PERMIT "I
PLAN CHECK NO. 11(
PLAN CHECK FEES $