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HomeMy WebLinkAboutX2019-0570 - Permit Application,; PFinf Form" % heet for Combo Building & Solar Permit Application VEW j— Comm'I [- Resident City of Newport Beach - Building Division XZj Iq - Os" o -' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building Grading [Drainage rjElec �Mech I�Plum cuvdcut�l cu ydFiu� - "' ��� i Project Address (Not mailing address) Cl Flood C i Fire f -'I Liq r-] Landslide N/A Floor Suite No 11 2549 Eastbluff Drive 2549A Description of Work �- I G �'U Use F Const Type Repair broken fire suppression water supply line and barkfill soil beneath undprm'norl clAh # Stories: # Units (if Res)F caused b the broken fire water piping Y PP 9 Valuation $ ? p exw Material/Labor J ` New/Add SFRemodel SFF Garage/New/Add OWNER'S NAME Last Irvine Company Retail Properties ! First wnes Address Owners E-mail Address 1non Drive 01 Inovati - - - - - City Irvine State CA Zip 92868 Telephone 949-720-2535 APPLICANT'S NAME Last Schubert I First Robert Applicant's Address Applicant's E-mail Address 1 City Blvd. West Suite 1800 11 rschubart@aecenvironmenta1.com City Orange I State CA Zip 82868 Telephone 714-679-7677 ARCHITECT/DESIGNER'S NAME Last First �' Lic. No. II'i Architect/Designer's Address Architect/Designer's E-mail Address City _. State Zip �li Telephone l ENGINEER'S NAME Last Steinbach First Stanley Lic. No. C60255 ' Engineer's Address Engineer's E-mail Address 19521 Misty Ridge Lane ssteinbach@eecenvironmental.com City Trabuco Canyon State CA Zip 92679 Telephone 714-667-2300 CONTRACTOR'S NAME/COMPANY EEC Environmental Lic. No. 743267 Class A HAZ Contractor's Address Contractor's E-mail Address 1 City Blvd. West Suite 1800 City Orange State CA Zip 92868 Telephone 714-667-2300 SETBACKS REAR SETBACKS FRONT PERMIT NO. T � 6-^' ✓ �� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $