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HomeMy WebLinkAboutPV2021-144 - Permit ApplicationPrint Foran 11" (- Comm'I r V NU2A-1 � for Combo Building & Solar Permit Application City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL jX Building j_ Gradingrainage Elec r Mech Plum cu vdcutF Cu d FIII Project Address (Not mailing address) [_ Flood j` Fire f' Liq f— Landslide 1/A Floor Suite No 26010 uckeye St r-- F Description of Work Use F—ConstType F_ # StoriesF2 # Units (if Res)[ ns a mo u inve energy s orag sys e Valuation $ 45,00 Material/Labor��� A New/Add SF 944 Remodel SFF Garage/New/Add -- OWNER'S NAME Last Roytman FirstAlexander 1�� //�) s Owner's Address Owner's E-mail Address ` 2601 Buckeye bren2da@gmail.com s City Newport Beach StateCA Zip 92660 Telephone949-346-1645 ' APPLICANT'S NAME Last Stablein First Sam Applicant's Address Applicant's E-mail Address 2102 Alton Pkwy Suite B sstablein@tesla.com City Irvine State CA Zip 92606 Telephone 714-496-0688 ARCHITECT/DESIGNER'S NAME Last l— First F_ - Lic. Na. �— Architect/Designer's Address Architect/Designer's E-mail Address ........ ... City ( State �— Zip �— Telleephoneel ENGINEER'S NAME Last First I t y -d , a // I L No.�— Engineer's Address Engineer's E mail Address iiia\��� " LZ'� 4✓ — City State F— Zip Telephone CONTRACTOR'S NAME/COMPANY Sam Stablein/Tesla Lic. No. 888104 Class446 Contractor's Address Contractor's E-mail Address 2102 Alton Pkwy sstablein@tesla.com City Irvine State CA Zi . 92606 Telephone714-496-0^688 SETBACKS REAR SETBACKS FRONT RMIT NC Hq SETBACKS LEFT SETBACKS RIGHT LAN CHECK NO. USE ZONE DEVELOPMENT NOPLAN CHECK FEES $