HomeMy WebLinkAboutPV2020-042 - Permit ApplicationPN 2,1 L0- 0Lt2
°Print Form W31rftqeet for Combo Building & Solar Permit Application
�/ City of Newport Beach - Building Division o
F_ Comm'I r Residenti I J` NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL O
rBuilding rGrading
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Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
28 Montgomery�—
Description of Work
use",Const Type
# Storis 2 '.. # Units (if Re
i2uob M&"Vee( Sol 17- Mgk t
l 1l4jla-FeY
Valuation $
Material/Labor 8,W -
New/Add SF 222 Remodel SFF
Garage/New/Add r
_.
OWNER'S NAME
Last Laurie First Greg
Owner's Address
Owner's E-mail Address
28 Montgomery
irlothedog@gmail.com
City Newport Beach
Cp 92660 Telephone
State A Zi9495005092
APPLICANT'S NAME
Last Fisher
First Jonah
Applicant's Address
Applicant's E-mail Address
2102 Alton Pkwy
jonfisher@tesla.com
City Irvine
State CAZip
92606 Telephone 9498129325
ARCHITECT/DESIGNER'S NAME T i0..
Last jp`.
T
_ _ 'First �1PLSe Lic.No.
Architect/Designer'sAddress
Architect/Designer's E-mail Address
City
State
Zip F Telephone
ENGINEER'S NAME
Last
First—, Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State
Zip F — Telephoner
CONTRACTOR'S NAME/COMPANY
Jonah Fisher/Tesla
Lic No. 888104 Class C46
Contractor's Address
Contractor's E-mail Address
2102 Alton Pkwy.
jonfisher@tesla.com
City Irvine
State CA
Zip F92606 Telephone 9498129325
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. '
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $
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