HomeMy WebLinkAboutPV2022-001 - Permit ApplicationWorksheet for Combo Building & Solar Permit ADolication
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL v
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Project Address (Not mailing address) ❑ Flood [ Fire [ Liq [ Landslide F_N/A Floor Suite No
4701 Cortland Dr, Newport Beach, CA 92625—I!—I
Description of Work I Use F7 Const Type F-7
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New/Add SF 953 _! Remodel SF Garage/New/Add
OWNER'S NAME Last
Owner's Address
4701 Cortland Dr — —
city[Newport Beach State CA
APPLICANT'S NAME Last
Applicant's Address
2102 Alton Parkway, Suite B
------ —--------- ---
City Irvine State F77
First
Owner's E-mail Address
familyche _g@yahoo.com-
Zip 192660 1 Telephonel(949) 485-9206
First
Applicant's E-mail Address
bridallen@tesla.com
Zip 92606 Telephone 714-450-2839
ARCHITECT/DESIGNER'S NAME Last Roy FirstChristopher Lic. No. F77777�7
Architect/Designees Address
2102 Alton Pkwy
City Irvine —— ---.'. State CA_ _ �,-
Architect/Designer's E-mail Address
croy@tesla.com
Zip 92606 ! Telephone k9) 318-7452
ENGINEER'S NAME Last Arcea First Dylan _ J Lic. No. E23569
Engineer's Address
2102 Alton Pkwy
City 1. Irvine State F77
Engineer's E-mail Address
dygarcia@tesla.com
Zip 92606 I Telephone
CONTRACTOR'S NAMEKOMPANY Bridget Allen / Tesla Energy Lic. No. 888104 Class C-10
Contractor's Address Contractor's E-mail Address
2102 Alton Parkway,. Suite B - bridallen@tesla.com
City Irvine State CA - Zip 92606 Telephone 714-450 2839
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. PX/BZZ-OO I
% PZZ-Ob
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
•
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $