HomeMy WebLinkAboutX2022-0646 - Permit ApplicationX 2u 21- DWAV,
Print Fora Worksheet for Combo Building & Solar Permit Application o�
(", Comm'I ;X Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F_ Building F_ Grading F-Drainage rXElec F_ Mech r Plum
Project Address (Not mailing address) [_ Flood F_ Fire [_ Liq
25 Vernon, Newport Beach, CA 92657
Description of Work
relay
New/Add SF Remodel SF� Garage/New/Add
Cu Yd Cut I
Cu Yd Fill 1
F Landslide
F_N/A Floor
Suite No
Use F— Const Type
# Stories # Units (if Res)
Valuation $ 20,000
Material/Labor
OWNER'S NAME
Last Lee ' First Frank
'
Owner's Address Owner's E-mail Address
25 Vernon frank168@mac.com
City Newport Beach State CA Zip 92657 Telephone (949) 285-8599
IAPPLICANT'S NAME Last An First Bridget I
Applicant's Address
2102 Alton Parkway, Suite B
City Irvine State CA
Applicant's E-mail Address
bridallen@tesla.com
Zip 92606 Telephone 714-450-2839
ARCHITECT/DESIGNER'S NAME Last Roy First Christopher Lic. No.
Architect/Designer's Address
2102 Alton Pkwy
City Irvine State CA
Architect/Designer's E-mail Address
croy@tesla.com
Zip 92606 Telephone (619) 318-7452
ENGINEER'S NAME Last Arcea First Dylan Lic. No. E23569
y I _.
Engineer's Address
2102 Alton Pkwy
City Irvine State ca
Engineer's E-mail Address
dygarcia@tesla.com
Zip 92606 Telephone
CONTRACTOR'S NAME/COMPANY Bridget Allen / Tesla Energy Lic. No. 888104 Class F10
Contractor's Address
2102 Alton Parkway, Suite B
City Irvine State CA
Contractor's E-mail Address
bridallen@tesla.com
Zip 92606 Telephone 714-450-2839
SETBACKS REAR SETBACKS FRONT PERMIT NO. qyu " ,Pk-1A
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. t,5iK• LDZL-
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $