HomeMy WebLinkAboutPV2021-227 - Permit ApplicationI Print Form A Worksheet fnr Cnmhn Ruilrlinn R Snlar Parmit Annlirrofinn #SS a"N
Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r— Grading
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Project Address (Not mailing address) r' Flood r Fire r Liq r Landslide rN/A Floor Suite No
48 Crooked Stick Dr, Newport Beach, CA 92660, US 1 F_
Description of Work
Use F Const Type
Installation of new roof -mounted
photovoltaic system 4-25 kW with 10 modules and 1 inverter
# Stories # Units (if Res)
s
I
Valuation $ 0,500
Material/Labor
New/Add SF 238 i
Remodel SF i Garage/New/Add F —
"Y
OWNER'S NAME
Last Dabdoub First Marisol
Owner's Address
Owner's E-mail Address
48 Crooked Stick Dr
City Newport Beach State CAZip 92660 � Telephone (408) 547-7307
APPLICANT'S NAME
Last Allen First Bridget
Applicant's Address
Applicant's E-mail Address
2102 Alton Parkway, Suite B
bridallen@tesla.com
City Irvine
I State CA Zip 92606 Telephone 714-450-2839
ARCHITECT/ DESIGNER'S NAME Last1Vq"Uz0[d
First � " Lic. No.
V
Architect/Desi ner's Address
Architel
ct/Designer's E-mail Address
City
State r�i Zip Telephoned
ENGINEER'S NAME
Last First F LicNol
Engineer's Address
Engineer's E-mail Address CJ�5
City
State Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY Bridget Allen/Tesla Energy Lic. No. 888104 Class C-10
Contractor's Address
Contractor's E-mail Address
2102 Alton Parkway, Suite B
bridallen@tesla.com
City Irvine
State CA Zip 92606 Telephone 714-450-2839
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. C�10 a 2® r
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $