HomeMy WebLinkAboutPV2019-097 - Permit Application (2). rint Form .: Works eet for Combo Building & Solar Permit Application
j- Comm I (K Residential City of Newport Beach - Building Division
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
fXBuilding F_ Grading inage r-IElec I-Mech F -Plum CuvdCut F_' cuvdFill
Project Address (Not imailing address) C Flood r Fire FLiq r- Landslide IN/A Floor Suite No
6 Waterford Way, Newport Beach, CA 92657—'
Description of Work
Use F —7 Const Type
ns a roo moun e p. --orovolf"aic system . panes, i inverter
# Storiess # Units (if Res)F
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9 a/New/Add —I
OWNER'S NAME Last Rahmatullah First Shahla
Owner's Addre Owner's E-mail Address
State CA Zip 92657 Telephone
ist Foxx First Melissa
Applicant's E-mail Address
J mfoxxsarmiento@tesla.com
State CAZip 92606 Telephone 702-785-2998
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�•�NAME ast �Lic No. �-
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esiq Architect Designer's E-mail Address
State F Zip TelephoneF
ENGINEER'S NAME Last First F Lic No.
I Endneers Address Engineer's E-mail Address
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City _ State F Zip 1.. Telephone
CONTRACTOR'S NAME/COMPANY Tesla Energy Operations Lic. No. 888104 Class C46, B
Contractor's Address Contractor's E-mail Address
2102 Alton ParkwaySuite B mfoxxsarmiento@tesla.com
City Irvine State CA Zip 92606 Telephone 702-785-2998
SETBACKS REAR SETBACKS FRONT PERMIT NO. " M ` •f
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. I Q6
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $