HomeMy WebLinkAboutPV2020-027 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Per
r Residential City of Newport Beach - Permit A
P Building Division �?Plfcation
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB {{�� vu
(-Building r Grading MI 7AL b21 a� [—Drainage r Elec r Mech r Plum
Project 1 Address (Not mailin Cu vd cut
g address) r Flood N Yd Fill
39 Avignon r Fire r Li
9 r Landslide rN/A
Floor Suite No
Description of Work F, F—
un e
oar, es nv er Use F� Const Type
# Storiesr2 #Units (if Res)
New/Add SF 222
Remodel SF���- `
Garage/New/Add Valuation $
OWNER'S NAME Material/Labor81000
Last Zalotrawala ZZ r 6 (6 D
Owner's Address - --... - First Tabassum
39 Avignon -
-. Owner's E-mail Address -
City Newport Beach Yusuf1973
@9mail.com
State [CA
APPLICANT'S NAME ZIP 92657
Last
Telephone 4044554849
Fisher
Applicant's Address --...... First Jonah
2102 Alton Pkwy
_. - Applicant's E-mail Address
Irvi
City ne jonfisher@tesla.com
State CA
ARCHITECT/DESIGNER'SNAME Zip 92657 Telephone949g12g324
Last
Architel �D�sAddress C First��
I Arc ite - m a Lic. No.
- - ct/Designer's E-mail Address - -
City -.-...._.
-..- -..... - State I
Zip
ENGINEER'S NAME Telephone
Last
Engineer's Address - - -- First
Lic. No.r___
Engineer's E-mail Address
City . ...... .. ......
- State
Zip F
CONTRACTOR'S NAME/COMPANY Telephone -
Jonah Fisher/Tesla i
Contractors Address -
2102 Alton Pkwy j
'c. No. 888104
,Class C46
Contractors E-mailE
mail Address
- - - -
City Irvinelonfisher@testa.com
State CA
Zip 92606 Telephone 9498129324
SETBACKS REAR
SETBACKS LEFT SETBACKS FRONT
JSE ZONE ------ SETBACKS RIGHT —� PERMIT NO. _ Z7
DEVELOPMENT NO PLAN CHECK NO. 7i
PLAN CHECK FEES $ _ Zv�