HomeMy WebLinkAboutPV2021-179 - Permit ApplicationPrint Form
j Comm'( rX Residenti I
IX Building r Gradin
heet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division �V u�. l�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB TT
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lrainage (_ Elec F_ Mech F_ Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) IW Flood r Fire F_ Liq F_ Landslide
20 Regents
Description of Work
new wall -mounted energy storage system 27kW
FN/A Floor Suite No
Use F_ Const TypeF_
StoriesF_ # Units (if Res)[_
Valuation $S
New/Add SFF Remodel SF Garage/New/Add Material/LabtTr
OWNER'S NAME Last Haghighi First Ramtin�
Owner's Address Owner's E-mail Address CW
20 Regents
City Newport Beach State CA Zip 92660 Telephone (949) 232-7999
APPLICANT'S NAME Last IFoxx-Sarmiento First (Melissa
Applicant's Address Applicant's E-mail Address
2102 Alton Parkway, Suite B mfoxxsarmiento@tesla.com
City Irvine State CA Zip 92606 Telephone 702-785-2998
ARCHITECT/DESIGNER'S NAME Last F__
�� First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State - Zip F Telephoner
ENGINEER'S NAME Last C First Lic. No.
Engineer's Address Engineer's -E-mail Address
City State F_F_Tele Zip �Telephone[
NAME/COMPANY Melissa Foxx-Sarmiento/Testa Energy Lic. No. 888104 Class -
CONTRACTOR'S C-10
Contractor's Address Contractor's E-mail Address
2102 Alton Parkway, Suite B
City Ilrvine
SETBACKS REAR
SETBACKS LEFT
mfoxxsarmiento@tesla.com
State CA Zip �92606 Telephone 702-785'8�t Z�
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SETBACKS FRONT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO. t6, r 7T APLAN CHECK FEES $