HomeMy WebLinkAboutPV2022-0337 - Permit Application72
Print Form Worksheet for Combo Building & Solar Permit Application -0
F Comm'l fX Residential City of Newport Beach - Building Division {F
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
fX Building (— Grading [—Drainage r Elec f— Mech r Plum F
Cu Yd CutCu Yd Fill
Project Address (Not mailing address) f Flood f— Fire F— Liq I— Landslide FN/A Floor
153 Bridgeport Rd
Suite No
F_ F_
Description of Work
Use Const Type solar
-'
Install mo u es,
Inver er, energy s orage sys em # Stories # Units (if Res)s
New/Add SF 434
—
Remodel SFF - �`'"`��'''�� Valuation $
Garage/New/Add PV: 17,000/ESS: 9K
I Material/Labor
OWNER'S NAME
Last Tolsma First Arthur
Owner's Address
53 Bridgeport Rd
Owner's E-mail Address
awtolsma@gmail.com
City lNewport Beach
State CA Zip 92657 Telephone 951-232-4180
APPLICANT'S NAME
Last IStablein First Isam
Applicant's Address
Applicant's E-mail Address
2102 Alton Pkwy Suite B
sstablein@tesla.com
City Ilrvine
State CA Zip 92606 Telephone 714-496-0688
ARCHITECT/DESIGNER'S NAME Last ISviatoslav
First Jesus Lic. No. 888104/c-10
Architect/Designer's Address Architect/Designer's E-mail Address
2102 Alton Parkway Suite B
jsviatoslav@tesla.com
City Irvine State CA -Zip 92606 Telephone[
ENGINEER'S NAME Last Atwell
First Ryan Lic. No. 888104/C-10�
Engineer's Address Engineer's E-mail Address
San Diego Tesla Office ratwell@tesla.com
City State F_ Zip [_ Telephones�
CONTRACTOR'S NAME/COMPANY Sam Stablein/Tesla Lic. No. 888104 Class C46
Contractor's Address Contractor's E-mail Address
2102 Alton Pkwy sstablein@tesla.com
City Ilrvine State CA Zip 92606 Telephone 714-496-0688
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $