HomeMy WebLinkAboutF2019-0668 - Permit ApplicationVV v. ria n�`a.v. . uv. c.. n.a �NNua.ua.vn
Print Form /y1a ^ 2City, of Newport Beach - Building Division
Tease print 3 copies
Associated Building Permit # F Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite o
100 aYview Circle It
Tenant Name %# Units
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2. Description of Work
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Ty- FSS SPIthkLm
Owner's Address
for he T I.
Extg Sq FtP/ Oil'
New/Added Sq Ft
L-4 Pq
Total Sq Ft /� 0� 7T
City c_o rPy\rA
rNew r Add Alter r Demo
Check Appropriate Box for Applicant/Notification
Use
Valuation $
# Stories I
F 3. Owner's Name Last(gdAG
J
First
Owner's Address
Owner's E-mail Address
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L-4 Pq
City c_o rPy\rA
State FC;F_
Zip t 0 Telephone
F_ 4. ArchitectlDesigner's Name Last Li rVIQvl
First uq., Lic. No. L�gtfjc�$
Architect/Designer's Address
Architect/Designees E-mail Address
7o( W - 61we-
4ve -
j C,01. P1 N 1�;rlc . C1b07
City Y-C-AA9G
State F(',I,
ZipF fTelephone C-?tq)b3Z-18
F_ 5. Engineer's Name Last I t,;,?04
First �w Lic No. ;t Ng
Engineer's Address
Engineer's E-mail Address
70i G✓ C?ra ve-
Svc .
j an e 91,tti- n c. c fl rn
City onq 9 e
State I (/1 •
Zip �is - Telephon VlJ 432 -.Pb' 414
F-6. Contractor's Name Last CGS 1tlQ / G(hy/�GgWLic d No. �1 N Class C^
Contractor's Address
Contractor's E-mail Address
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City
State F_Ck__-
Zip % N" -r Telephone pz 63'l 2n 7
OFFICE USE ONLY
TYPE OF CONSTRUCTION
PERMIT NO.
PLAN CHECK NO.
OCCUPANCY- GROUP 9U tp CW5 PLAN CHECK FEE $
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111W. 94
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