HomeMy WebLinkAboutXR2022-2777 - Permit Application(Z 20 Z 2 - 2�7 77
Worksheet for Combo Building & Solar Permit Application
r Comm I Fx Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX',Building rGrading I ;Drainage 7Elec j Mech Plum cuvdcut cuvdFill
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Project Address (Not mailing address) 1 Flood (— Fire r: Liq rj Landslide r—N/A Floor Suite No
519 Fullerton Ave r F—
Description of Work Use ConstTYP e solar
-
ristall 10 KVV VV, 4 1 modules, 2 inverters, 115 Kvv energy storage system # StoriesF # Units (if Res)
Valuation$ FP
:35000/ESS 9K
New/Add SF 889 Remodel SF �_ Garage/New/Add Material/Labor
OWNER'S NAME Last Fults First FDavid .._ ._.
Owner's Address Owner's E-mail Address
519 Fullerton dfults@voitco.com
City Newport Beach State CA Zip 92663 Telephone 323-791-0038
APPLICANT'S NAME Last Stablein First Sam
Applicant's Address Applicant's E-mail Address
2102 Alton Pkwy Suite B sstablein@tesla.com
--- -- --- - ---- --- - -- _. . .
City Irvine State CA 92606 Zip Telephone 714-496 0688
ARCHITECT/DESIGNER'S NAME Last Sviatoslav First Jesus
�, Lic. No 888104/c-10
Architect/Designer's Address
2102 Alton Parkway Suite B
City Irvine_ _._ I State A C_._
Architect/Designer's E-mail Address
Fiatoslav@tesla.com
Zip 92606 Telephone��
ENGINEER'S NAME Last Atwell First Ryan __._ Lic. No 888104/C 10
Engineer's Address
11 San Diego Tasla Office
City I_State
Engineer's E-mail Address
ratwell@tesla.com
Zip W Telephoned
CONTRACTOR'S NAME/COMPANY Sam Stablein/Tesla Lic. No..888104 _ Class F6
Contractor's Address
2102 Alton Pkwy
City Irvine. _ State CA .)
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
sstablein@tesla.com
Zip 92606 j Telephone 714-496-0688
PERMIT NO. WtigWfi OKfVt4-•Z111
PLAN CHECK NO. 1(40?z 4-fwllo
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $