HomeMy WebLinkAboutPV2021-144 - Permit ApplicationPrint Foran 11"
(- Comm'I r
V NU2A-1 �
for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jX Building j_ Gradingrainage Elec r Mech Plum cu vdcutF Cu d FIII
Project Address (Not mailing address) [_ Flood j` Fire f' Liq f— Landslide 1/A Floor Suite No
26010 uckeye St
r-- F
Description of Work
Use F—ConstType F_
# StoriesF2 # Units (if Res)[
ns a mo u
inve energy s orag sys e
Valuation $ 45,00
Material/Labor���
A
New/Add SF 944
Remodel SFF Garage/New/Add --
OWNER'S NAME
Last Roytman FirstAlexander 1�� //�) s
Owner's Address
Owner's E-mail Address `
2601 Buckeye
bren2da@gmail.com s
City Newport Beach
StateCA Zip 92660 Telephone949-346-1645 '
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 l— First F_
-
Lic. Na. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
........ ...
City ( State �— Zip �— Telleephoneel
ENGINEER'S NAME
Last First I t y -d , a // I L No.�—
Engineer's Address
Engineer's E mail Address iiia\��� " LZ'� 4✓
—
City State F— Zip Telephone
CONTRACTOR'S NAME/COMPANY
Sam Stablein/Tesla Lic. No. 888104 Class446
Contractor's Address
Contractor's E-mail Address
2102 Alton Pkwy
sstablein@tesla.com
City Irvine
State CA Zi . 92606 Telephone714-496-0^688
SETBACKS REAR
SETBACKS FRONT RMIT NC Hq
SETBACKS LEFT
SETBACKS RIGHT LAN CHECK NO.
USE ZONE
DEVELOPMENT NOPLAN CHECK FEES $