HomeMy WebLinkAboutPV2022-078 - Permit Application6 Worksheet for Combo Building & Solar Permit Application ��e Po
r-1Comm'I (x Residential City of Newport Beach - Building Division o a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c<�.o.�"
rBuilding f-, Grading rDrainage rElec( Wech Plum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address) F7, Flood r Fire F1, Liq F_ Landslide r7N/A Floor Suite No
300 Hazel Dr, Newport Beach, CA 92625
Description of Work
New/Add SF 412 Remodel SFF77777 Garage/New/Add F
Use F Const Type F�,
# Storied / � # Units (if Res)
111/ll i
Valuation$
Fs,000
g
Material/Labor !
APPLICANT'S NAME Last
Applicant's Address
2102 Alton Parkway, Suite B
_. ---------------------
City Irvine State CA
First Bridget
Applicant's E-mail Address
1. brldallen@tesla.com
Zip 92606 Telephone714 450 2839
ARCHITECT/DESIGNER'S NAME Last I Roy _.._ First Phristopher Lic No.
Architect/Designer's Address
2102 Alton Pkwy
City Irvine State CA
Architect/Designer's E-mail Address
Ftroy@tesla.com
Zip 92606 Telephone(619) 918-7452
ENGINEER'S NAME Last ArceaFirst Dylan Lic No. E23569
Engineer's Address
2102 Alton Pkwy
City Irvine State ca
---._. _-...._...__..._w.__..
Engineer's E-mail Address
dygarcia@tesla.com
Zip ,92606 _ Telephoned
CONTRACTOR'S NAME/COMPANY Bridget Allen / Tesla Energy j Lic. No. 888104 _ Class C-10
Contractor's Address
2102 Alton Parkway, Suite B
City Irvine State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
bridallen@tesla.com
_.__.---------
--
Zip 92606 Telephone 714-450-2839
PERMIT NO. eiYv wLZd wb
PLAN CHECK NO. 01161 %t'%Z✓
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $