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HomeMy WebLinkAboutPV2024-0065 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application r Comm'[ r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUF AT TIME nF SI IRMITTAI r'Building r; Grading rDrainage g. Elec r Mech F- Plum Cu Yd cutsCu Yd Fill Project Address (Not mailing address) r Flood r, Fire r Liq r Landslide FN/A Floor Suite No 12 FAIRWIND �- Description of Work Use F Const Type ESLA BATTERY PACK SYSTEM: (2) TESLA POWERWALL 2 C BATTERIES SYSTEM IOKW 27KW14 1 TESLA BACKUP GATEWAY 2 WITH INTERNAL PANEL OARD (1) REMOTE DISABLE SWITCH(2) AC DISCONNECTS 4YonesF_ #Units(ifRes)[ Valuation 5 5,559 Material/Labor New/Add SFF_ Remodel SF�— Garage/New/Add OWNER'S NAME Last MILLER RESIDENCE First Owner's Address Owner's E-mail Address AME City State �— Zip F TelephoneF_ APPLICANT'S NAME Last MEDINA First BEN Applicant's Address Applicant's E-mail Address 31225 LA BAYA DR BEN@IPERMITUSA.COM City ESTLAKE 11 VILLAGE State CA Zip 1�q�1362 Tele hone 18-735-7876 ARCHITECT/DESIGNER'S NAME Last �— First F_ _ Lic. No. F_-, Architect/Designer's Address Architect/Designer's E-mail Address City _ State �— Zip TelephoneF ENGINEER'S NAME Last �— !, First F —' Lic. No.F_ Engineers Address Engineer's E-mail Address City �— . State CA Zip I „ Telephoned— CONTRACTOR'S NAME/COMPANY SWELL ENERGY - Lic. No. 11021183 _ Class 1OC46 { Contractor's Address Contractors E-mail Address IS 1014 BROADWAY ST 949 EKLING@SWELLENERGY.COM City SANTA MONICA State CA Zip 90401 Telephone 103400493 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. f aM02N' q g9 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $