HomeMy WebLinkAboutPV2021-227 - Permit Application (2);Print Form I Work_ heet for Combo Building & Solar Permit Application
Comm'I ` City of Newport Beach - Building Division y��'J 2 1 - i Z1
F_ rl Residential / NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI�TTAI / a
FX -Building r- Gradingrainage
I- Elec FI Mech F Plum Cu Yd Cutl l Cu Yd Fill F_
Project Address (Not mailing address) r Flood r Fire n Liq 17 Landslide F_N/A Floor Suite No
48 Crooked Stick Dr, Newport Beach, CA 92660, US I , �—
Description of Work
Use Const Type
Installation of new roof -mo nt
d photovoltaic system 4 25kW with 10 modules. and 1 invertgr
#Stories #Units (if Res)
_.__. i
New/Add SF 238
Valuation $ 0,500... � '
Remodel SF Garage/New/Add Material/Labor
OWNER'S NAME
Last Dabdoub First Mansol
Owner's Address
Owner's E-mail Address
48 Crooked Stick Dr
City Newport Beach
State CA Zip 92660 Telephone(408) 547-7307
APPLICANT'S NAME
Last Allen First Bridget
Applicant's Address
Applicant's E-mail Address
2102 Alton Parkway, Suite 6
bridallen@tesia.com
City Irvine
State CA Zi 92606 Tele hone 714-450-2839
I P — P
ARCHITECT/DESIGNER'S NAME Lastj t� �4 First y Lic. No. �—
Architect/Designer's Address
V
Architect/Designer's E-mail Address
City
State Zip F-- TelePhonel
ENGINEER'S NAME
Last First Lic. No//
--1—'
Engineer's Address
Engineer's E-mail Address
City
Sfate Zip TelephoneF—
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
i State CA Zip 92606 Telephone 714-450-2839
SETBACKS REAR
SETBACKS FRONT PERMIT N0.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. G6 s 2Gzl
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $