HomeMy WebLinkAboutPV2021-026 - Permit Application (3)'?q 20%1 -D?,U
Print Form Worksheet for Combo Building & Solar Permit Application
(— Comml r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r— Grading rDrainage rElec r'Mech r— Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/Ar Floor Suite No
313 Fullerton Ave I
Description of Work Use F Const Type F
5 ' 5 Qoo�- Mav&vi%fS cCcu 17 l3nLey +
#Stories #Units (if Res):
Valuation $ 12,000
New/Add SF 313 Remodel SF � Garage/New/Add �', Material/Labor
OWNER'S NAME Last Harden First Terry
Owner's Address Owner's E-mail Address
313 Fullerton Ave gtharden@gmail.com
City Newport Beach State CA Zip 92663 Telephone9492467000
APPLICANT'S NAME Last Fisher First Ponah
Applicant's Address
2102 Alton Pkwy
City Irvine _. State CA
Applicant's E-mail Address
jonfisher@tesle.com
Zip 92606 Telephone 9498129325
ARCHITECT/DESIGNER'S NAME Last I (:A A www _ First j Lic. No. F_
Architect/Designer's Address
City ... State F_,.:
Architect/Designer's E-mail Address
Zip F Telephoned
ENGINEER'S NAME Last I IFirst F Lic. No.
Engineer's Address
City State r
E-mail Address
Zip Telephoned
—
CONTRACTOR'S NAME/COMPANY Jonah Fisher/Tesla Lic. No. 888104 Class C46
Contractor's Address
2102 Alton Pkwy * '$
City Irvine State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
jonfisher@tesia.com
Zip 92606 Telephone 9498129325
PERMIT NO. �T�,.�}.��y . u�
PLAN CHECK NO.,
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $