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HomeMy WebLinkAboutX2020-1093 - Permit ApplicationLEE Fgrm Worksheet for Combo Building&Perm Y w1V . I O `3 IX Comm'I (-.. Residential Cit of Newport Beach Solar Permit Application City p Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL z rBuildin9 r Gradin ° 9 [-Drainage FX Elec [X Mech Project Address Not 9 [X Plum cu ydcut� � mallet address) f Flood Cu Yd Flu 5000 BIrCh Street Fire j' Liq [Landslide [-N/A Floor Suite No Description of Work L Use FT Const Type I -A, SPR toilets, millwork finishes and associated Mechanical, Electrical and Plumbing. F _ ---�----��- _ # Stories - - # nits (if Res) New/Add SF�� - __ _ Remodel SF��y��-' Valuation $ _ :i, S* 3 Garage/New/Add �— OWNER'S NAME Material/Labo Last Mulcahy -Rodriguez - Own er'sAddress --- First Dionne 5000 Birch Street, Suite 120 Owner's E-mail Address Dionne _Mulcahy-Rodri mul6ahy-Rc)driguez@jhancock.com Newport Beach 9 @jhancock.com - _ State CA _ - Zip 92660 Telephone 9493859361 APPLICANT'S NAME Last Crenshaw - Applicant's Address - - - _ First JWencly 10 Edelman Applicant's E-mail Address - - City Irvine wcrenshaw@waremalcomb.com State CA Zip F2618 Telephone 9497884075 ARCHITECT/DESIGNER'S NAME Last Nouizi Archdecf/Designer's Address - FirstIlyes - -. Lic. No. C-32135 10 Edelman Architect/Designer's E-mail Address - City Irvine -_ inouizi@waremalcomb.com - - State CA Zip92618 - Telephone 9497884176 ENGINEER'S NAME Last Faragau Engineer's Address - - - - First Ben Lic No.F__ 16501 Scientific—Wa­V#-20Engineer's E-mail Address City Irvine ben@pda-eng.com _.. State ICA Zip 92618 Telephone 9498521491 CONTRACTOR'S NAMEXOMPANy Contractor's Address --- -- - - ✓ G Lic. No. 3 /} X20 A Contractor's E-mail Address ass _ L' 02 %%iG�i� �� city C©ST3r '[-S 'G/355� - State 11_ Zip Telephone,�JF - - - SETBACKS REAR F� -fl'Gt® g `/��� �� SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT -- PERMIT NO. / A� USE ZONE �J_ ( -�� PLAN CHECK O. --a-Le DEVELOPMENT NO PLAN CHECK FEES $