HomeMy WebLinkAboutXC2022-2051 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
F, Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r;Building r Grading rDrainage I-X Elec rMech
Plum C.YdCutl CuvdFill F
Project Address (Not mailing address) r Flood
r Fire r Liq r Landslide rN/A Floor Suite No
4249 MACARTHUR BLVD
r-
Description of Work
Use F ConstType F_
INSTALL TESLA EV CHARGING STATIONS
# Stories #Units (if Res'.
New/Add SFF Remodel SFF— Garage/New/Add F
Valuation $ [150,000
Material/Labor
OWNER'S NAME Last 1ST NEWPORT INVESTMENT LL First
Owner's Address
Owners E-mail Address
001 DUBLIN DR
ALBERT@NEWLOOKSKINCENTER.COM
City GLENDALE State CA
Zip F1206 Telephone(8t8)662-5005
APPLICANTS NAME Last BERNAS
First BRITTANY
Applicant's Address
Applicant's E-mail Address
3500 DEER CREEK RD
City PALO ALTO State CA
Zip 4304 Telephone (760) 271-7947
ARCHITECT/DESIGNER'S NAME Last SCHAUB First FT EVEN Lic. No. 20336
Architect/Designer's Address
Architect/Designer's E-mail Address
20 S MAIN STREET Unit: 2531
City KRON State FH
Zip 4311 Telephone (330) 572-2100
ENGINEER'S NAME Last KABAK
First JOHN Lic No.
Engineer's Address
Engineer's E-mail Address
830 FURLONG DR
City MEDINA State
Zip 4256 Telephone F �
CONTRACTOR'S NAME/COMPANY MG �L�LT�IG
Lic No... ��3 �,.. Class D G
Contractor's Address
Contractor's E-mail Address
1-5011 12 ST sT 5✓�TF _ 8 _
�AIFO P rucFat,TWCC, 19" "Al
ty CNmlo __.. State FZ4 _
Zip p/( /0 Telephone /� 1 - �1G4.-. � a�
SETBACKS REAR SETBACKS FRONT
PERMITNO, XCI✓ZL— ?—OS
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. fC?_02. _--Z7B%
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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