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HomeMy WebLinkAboutPV2019-097 - Permit Applicationprint Form r Comm', 7IFXX—jl Residential r'Building r Grading 27 VI; Protect Adatress (Na G W:terlfor Descr d Way, Nei Dga scription of r roo -moun o t New/ New/Add SF OWNER'S NgME r2l 0' Owner's qd City INEWPORTBEACH APPLICANT'S NAME Suilding & Solar Per��pplicatlon -Alport Beach - Building Division -CK FEES DUE AT TIME OF SUBMITTAL Mech r Plum cued r Flood r" Fire (— Liq F Landslide Garage/New/Add ��... First State CA sst Foxx Applicant's Address - -- - -- - _ 4561 PALOMA LN City YORBA State CA ARCHj-.TECT/DE 5NAME _NGINEERS NAME Owner's E-mail Address Cu Yd Fill 1 A Floor Suite No Use Const Type r ## Stories $Units (if Res )r Valuation $ Material/Labor Zip 92657 Telephone FirstlMelissa Applicant's E-mail Address mfoxxsarmiento@tesla. com Zip f92606 Telephone 702-785-2998 ast w", /A. y' 1 First Lic. No. Architect/Designer's E-mail Address ------------ State Zip Telephone Last :neineer's Address irst Lic No.r� Engineer's E-mail Address ity State Zip F, Telephoned _ DNTRACTOR'S NAME/COMPANY Tesla Energy Operations mtractor's Address Lic. No. 885704 Class C46, B 02 Alton Parkway Suite B Contractor's E-mail Address mfoxxsarmiento@tesla. com V Irvine State CA Zip 92606 Telephone 702-785-2998 BACKS REAR --- . SETBACKS FRONT SACKS LEFT PERMIT NO. P SETBACKS RIGHT — ZONE ---- PLAN CHECK NO. DEVELOPMENT NO