HomeMy WebLinkAboutXR2022-2767 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application oF9`trPo
r Comm'I r Residential City of Newport Beach - Building Divisionn�b��
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL b
rBuilding rGrading
rDrainage rElec rMech
rPlum Cu Yd Cut Cu Yd rill
Project Address (Not mailing address) r Flood
r Fire r Liq r Landslide i—N/A Floor Suite No
518 Aliso Ave Newport Beach CA 92663--
Description of Work
Use F Const Type 1
14 kWh ESS, (1) TESLA POWERWALL 2 Battery, (1) TESLA BACKUP GATEWAY 2, (1)125A Load
# Stories[— # Units (if Res)F—
Valuation
New/Add SFF—
Remodel SFF—Garage/New/Add F_
$ F,500 00
Material/Labor
OWNER'S NAME
Last Foss
First Tom
Owner's Address
Owner's E-mail Address
518 Aliso Ave
tomfossl973@gmail.com
City Newport Beach
State CA
Zip 92663 Telephone (562) 519-1871
APPLICANT'S NAME
Last Barde
First Vyankatesh
Applicant's Address
Applicant's E-mail Address
10713 Norwalk Blvd.
permits.la@sempersolaris.com
City Santa Fe Springs,
State CA
Zip 90670 Telephone 619-728-6511
ARCHITECT/DESIGNER'S NAME Last
First Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
State F_
Zip F— Telephoned
ENGINEER'S NAME
Last �—
First F__ Lic. No.F_
Engineer's Address
Engineers E-mail Address
City
State F_
Zip F— Telephoned
CONTRACTOR'S NAME/COMPANY Semper Solaris
Lic No. 978152 Class C10/C46
Contractor's Address
Contractors E-mail Address
1805 John Towers Ave
permits.la@sempersolaris.com
City El Cajon
State CA
Zip 92020 Telephone 619-728-6511
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.f�'�/'f
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $