HomeMy WebLinkAboutPV2022-015 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F>—.Building r Grading rDrainage r)_�j Elec F-1 Mech r Plum Cu Yd
Project Address (Not mailing address) F.—I Flood
1907 Beryl Ln, Newport Beach, CA 92660
f— Fire f—, Liq r Landslide
Description of Work
i
Installation of new roof -mounted photovoltaic system 12 75 kw with 30 modals 7 imp rter
and 2 new wall -mounted energy storage system 27kW, 1 load center, i automatic relay
Cu Yd Fill
rN/A Floor Suite No
Use Const Type F
# Storiesr— # Units (if Res)[—
Valuation $
New/Add SF 715 Remodel SF—$47,600
' Garage/New/Add r— Material/Labor
OWNER'S NAME Last Polenzani First Michael
Owner's Address Owner's E-mail Address
1907 Beryl Ln _ mpolenzani@kpmg.com
City Newport Beach State CA Zip 92660 Telephone(714) 785-3256
APPLICANT'S NAME Last
Applicant's Address
2102 Alton Parkway, Suite B
City IrvineState CA
First
Applicant's E-mail Address
bridallen@tesla.com
Zip 92606
Telephone 714-450-2839
ARCHITECT/DESIGNER'S NAME LastGuiney First Christopher Lic. No.
Architect/Designer's Address
2102 Alton Pkwy
City Irvinei State CA
Architect/Designer's E-mail Address
cguiney@tesla.com
Zip 92606 Telephone (619) 318-7452
ENGINEER'S NAME Last Sekar FirstChidanand Lic. No. E21296
Engineer's Address
2102 Alton Pkwy
City Irvine State ca
Engineer's E-mail Address
csekar@tesla.com
Zip 92606 Telephone614.256.5685
CONTRACTOR'S NAME/COMPANY Bridget Allen / Tesla Energy Lic No. 888104 Class C-10
Contractor's Address
2102 Alton Parkway, Suite B
City Irvine State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
bridallen@tesla.com
Zip 92606 Telephone 714-450-2839
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $