HomeMy WebLinkAboutPV2021-028 - Permit ApplicationL t corm j worksheet for Combo Eluildi'ng $ Solar Permit Application
r Comm'I FX_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding [" Grading rDrainage [ Elec
Address
415 E Bay Ave
F Mech F— Plum
r Flood r Fire f-, Liq
Cu Yd Cut „ Cu Yd Fill
F Landslide (—N/A Floor
F
New/Add SFI I Remodel SFF Garage/New/Add F_
OWNER'S NAME Last Stewart
First
Owner's Address
Suite No
Use F—Const Type F_
# Storiesl2 # Units (if Res)[ —
Valuation $ F28,000
Material/Labor
Owner's E-mail Address
14 55 E Bay Ave
rbstewartjr@gmail.com
City Newport Beach State CA Zip92661 2—
Teleohona 4a9�aR_99ai
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
F2B
102 Alton Pkwy Suite
sstablein@tesla.com
City Irvine State CA Zip 92606 Telephone 714-496-0688
ARCHITECT/DESIGNER'S NAME Last j�'��
irst
Architect/Designer's Address
Architect/Designer's E-mail Address Lic. No. F—
City _ ..._ _. State F-- � one
Telephd—
Zip _......_..._.__.
ENGINEER'S NAME Last
First F--- Lic. No.F_'
Engineer's Address Engineer's E-mail Address
City _ State r — Zip �-- Telephone[
CONTRACTOR'S NAME/COMPANY
Contractor's Address
Sam Stablein/Tesla Lic. No. 888104 Class F46
2102 Alton Pkwy
City Irvine State CA
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
Contractor's E-mail Address
sstablein@tesla.com
Zip 92606 Telephone 714-496-0688
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
SETBACKS RIGHT