HomeMy WebLinkAboutX2020-2674 - Permit Application?ill at • L0 —illbb X7,t7/, P • 2, (,,1 `'l
Print Form Worksheet for Combo Building & Solar Permit Application
wall.,
F_ Comm'I (X Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G"
F -Building F_ Grading
rDrainage r—Elec r—Mech I Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r` Fire I-- Liq [_ Landslide F_N/A Floor Suite No
28 Whitesands Dr—
Description of Work
Use ConstType F_
# Stories # Units (if Res)
ns a rgy system, I loadcenter, I A/C DisconnecE
Valuation $
8,0 00 `
Material/Labor)
New/Add SF� Remodel SFF --- Garage/New/Add I
OWNER'S NAME
Last Maehler
First Joseph
Owner's Address
Owner's E-mail Address
28 whitesands
ghighland
City Newport Beach
State CA
Zip 92657 Telephone 949-933-9668
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
First F Lic. No.
Architect/Designees Address
Architect/Designees E-mail Address
City I�
State r
Zip F_ Telephone F_
ENGINEERS NAME
La r� First F_ Lic. No.F_
Engineer _ ,�,
> � �j
Engineer's E-mail Address
City
State F
Zip I ----.- Telephone(_
CONTRACTOR'S NAME/COMPANY Sam Stablein/Tesla
Lic. No. 888104 Class C46
Contractor's Address
Contractor's E-mail Address
2102 Alton Pkwy
sstablein@tesla.com
City Irvine
State CA
Zip 92606 Telephone 714-496-0688
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
^
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $