HomeMy WebLinkAboutPV2020-045 - Permit Application®®+ vvorksheet for Combo Buildin _UgI5
j- Comm'I j Residential City of Newport Beach- Building p viPo Permit AppiiCation
'Building r
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
G11 rading F-Drainage r Elec
r' Mech r Plum Cu Yd cut
Project ess (Not mailing add Cu Yd Fill
Sandune Ln
Of Work
_I'l ve,/4,y
New/Add SF 444
OWNER'S NAME
Jonah Fisher/Tesla
Contractor's Address - -"- -- --
2102 Alton Pkwy
City Irvine
State Cq i
ress) I-: Flood r Fire "-
r Li Floor Suite No
q r Landslide rN/A
Use Const Type
- # Stories' # Units (if Res)
Remodel SF�
Garage/New/Add Valuation $ I
Material/LaboF
00
Last Quesada
Owner's Address -- ---"- ---- First Vincent
3927 Sandune Ln Owner's E-mail Address
City-- vincentthinks@gmaii.com Newport Beach @9mail.com
State Cq
APPLICANT'S NAME Zip 92625 Telephone 7142255997
Last Fisher
Applicant's Address -"-- ---- _.. First Jonah
2102 Alton Pkwy Applicant's E-mail Address
City Irvine oonfisher@tesia.com
State CA Zip 92606
ARCHITECT/DESIGNER'S NAME LAVA-
-- Telepphh
one 9498129325
-� Last �-*Trv` Architect/Designer'sAddress -_-- First �Address
Lic. No.
ArchitecVDesigner's E-mailCity __ -__..
-_-- State
Zip F Telephone
ENGINEER'S NAME
Last--"- -"
Engineer's Address - ----
City _
State ( -
CONTRACTOR'S NAME/COMPANY
SETBACKS REAR
SETBACKS LEFT SETBACKS FRONT
- USE ZONE SETBACKS RIGHT
_
DEVELOPMENT NO
First
Engineer's E-mail Address
Zip F,._ Telephoned.._ -----
�7
Lic. No. 888104 Class C46
Contractor's E-mail Address
Ionfisher@tesia.com
Zip 92606 Telephone 9498129325
PERMIT NO. T\f
PLAN CHECK NO. py5D.zo�
PLAN CHECK FEES $