HomeMy WebLinkAboutPV2021-122 - Permit Application (2)FV7cO2 —12Z
Worksheet for Combo Building & Solar Permit Application
[: Comm'I [>7 Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r; Grading (—(Drainage (-FletF, Mech r Plum cuvdcut�
Address (Not mail!
COLONIAL DR
IIsTiPe[797
1!'••"••. Flood F_ Fire r Liq F-1Landslide
INSTALLING (12) PV MODULES (SYSTEM SIZE 4.74 KW) AND (2) TESLA POWERWALLS
New/Add SF 234 Remodel SF F Garage/New/Add
OWNER'S NAME Last IPIETSCH
®UGVll�7
Cu Yd Fill
FN/A Floor Suite No
Use RESI Const Type ADD
l
# Stories[— # Units (if Res)[7'
Valuation$ 27000
Material/Labor '
Owner's Address Owner's E-mail Address
20 COLONIAL DR dtpieschjr@gmail.00m
City NEWPORT BEACH State CA Zip 92660 Telephone (808) 282-2313
APPLICANT'S NAME Last
Applicant's Address
358 CORAL CIRCLE
City EL SEGUNDO State CA
First
Applicant's E-mail Address
ENGINEERING@XEROSOLAR.COM
Zip F90245 Telephone 3103768740
ARCHITECT/DESIGNER'S NAME Last ;First F777777 Lit No. F_
Architect/Designer's Address
City _.. State
Architect/Designer's E-mail Address
Zip Telephoned
ENGINEER'S NAME Last FlrstLic. No.F�l_
Engineer's Address
City f ,.-..-._.--... .. State
Engineer's E-mail Address
Zip[—
Telephoned—
CONTRACTOR'S NAME/COMPANY BEN LOCHTENBERG / XERO SOLAR Lic No. 1992157 _., Class C1.0
Contractor's Address Contractor's E-mail Address
358 CORAL CIRCLE ENGINEERING@XEROSOLAR.COM
City EL SEGUNDO State CA Zip 90245 Telephone 3103768740
SETBACKS REAR SETBACKS FRONT PERMIT NO. iy W ?J'
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
PLAN CHECK NO.
PLAN CHECK FEES $