HomeMy WebLinkAboutPV2020-169 - Permit ApplicationfVXZU- W
Print Form Work t for Combo Building & Solar Permit Application 04,
[_ Comm'I rXResidential ! 1/ City of Newport Beach - Building Division
I .%C NOTE: PLAN CHECKFEES DUE AT TIME OF SUBMITTAL
(—Building [_Grading rainage j—I Elec [_Meeh [_Plum Cu Yd cut[ Cu Yd Fill
Project Address
St St
mailing address) [_I Flood [_Fire [_ Liq [_Landslide N/A Floor
� Suite
2810 Catalpa
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Description of Work Use 1 lst Type
Install modules, I inverter # StoriesF2 # Units (if Res)
9 Valuation $ ��
New/Add S72 �i� Remodel SF Gara a/New/Add �I Material/Labor 27,u00
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OWNERS NAME Last Omiya First Cindy
Owner's Address Owner's E-mail Address
2810 Catalpa cindyomiya1@gmail.com
City Newport Beach State CA Zip 92660 Telephone7144086008
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 �II Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State F_ Zip F Telephoner
ENGINEER'S NAME Last a � First. y''} � f�� Li No.F
Engineer's Address Engineer'sE-mail Address
City State Zip Telephone
CONTRACTOR'S NAME/COMPANYSam Stablein/Tesla 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.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO C09AN CHECK FEES $