HomeMy WebLinkAboutXR2022-3119 - Permit ApplicationPrint Form ' Worksheet for Combo Building &Solar Permit Application o�EWPoRm
Comm'I n Residential City of Newport Beach -Building Division
XiNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r—,Building Gradin g a r i— F 17
� 9 r 9 (-Draina a LL']Elec IMech Plum Cuvdcut i cuvdrill
Project Address (Not mailing address) ri Flood rl Fire r— Liq rl Landslide r _N/AI—Floo—r Suite No
230 1/2 CEDAR ST I
Description of Work Use Const Type
--
TO INSTALL A TESLA BATTERIY PACK SYSTEM WITHPHOTOVOLTAIC SYSTEM. INSTALL --- F - - -]I
ADVANCEDADVANCED ENERGY SYSTEM: (1) TESLA POWERWALL 2 AC BATTERIY SYSTEM (5KW, # Stories7i # Units (if Res) ;
13.5KWH) (1) TESLA BACKUP GATEWAY 2 WITH INTERNAL PANELBOARD(1) BACKUP LOAD
PANEL () AC DISCONNECT
Valuation $ F
9463
New/Add SF Remodel SF�—' Garage/New/Add—I Material/Labor
OWNER'S NAME
Last JiRUBIN RESIDENCE First
Owner's Address Owner's E-mail Address
SAME
City .., State Zip I Telephone 949-413-8729
APPLICANT'S NAME Last _ IPERMIT I First
Applicant's Address Applicant's E-mail Address
31225 LA BAYA DR BEN@IPERMITCA.COM
City 11 IWESTLAKE VILLAGE State CA Zip = Telephone 818-735-7878
ARCHITECT/DESIGNER'S NAME Last �— First —'
- Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
City - State �� Zip TelephoneI--,- —
ENGINEER'S NAME Last— First—', Lic. No.F—
Engineer's Address Engineer's E-mail Address
City State F Zip F— Telephoned
CONTRACTOR'S NAME/COMPANY SWELL ENERGY Lic. No. 1021183 Class. C10 1
Contractor's Address Contractor's E-mail Address
11 1014 BROADWAY ST apswellservices@swellenergy.com
City I SANTA MONICA State CA Zip 90401 Telephone 310-340 0493 _ - _ _ I l 123
UZ31
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $