HomeMy WebLinkAboutF2019-0563 - Permit Application2� 1
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Please print 3 copies
Associated Building Permit #
0
5i(�Coj rksZhe. eL/t lfor
' 'Fire Permit Application
City of Newport Beach - Building Division
c} F_ Fire Sprinkler j— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
100 BAYVIEW CIRCLE SUITE 1200 F 1200
Tenant Name STEREOCOPE COFFEE # Units
2. Description of Work
k7?�Cxi [ Z O
City
.
Use �—
THIS T.I. INVOLVES RELOCATION AND ADDTION OF EXISTI R SPRINKLER DROPS FOR
NEW WALLS/ROOM CONFIGURATIONS.
F_ 4. Arch itect/Designer's Name
Extg Sq Ft New/Added Sci Ft Total Sci Ft F
Valuation $ 4375
ArchitectlDesigner's E-mail Address
1
City I AA),4' j t 0 N
State _ A Zip �2 87�,X Telephone %/ t —.32 3 —I I l (P
F_ New i— Add I— Alter (— Demo
# Stories
Engineer's Address
5-4 SP\
Check Appropriate Box for Applicant/Notification
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3. Owner's Name Last
Owners Address
Owner's E-mail Address
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City
.
State Zip F— Telephone—
L'
F_ 4. Arch itect/Designer's Name
Last 1-jf a/ First '/ IT Lic. No. I
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Architect/Designer's Address
ArchitectlDesigner's E-mail Address
City I AA),4' j t 0 N
State _ A Zip �2 87�,X Telephone %/ t —.32 3 —I I l (P
F_ 5. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F Telephone—
r 6. Contractor's Name Last �����First Lic. No. 9� D��3 Class
Contractor's Address
Contractor's E-mail Address
Cpl W- o u,.
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city ��
State F&�_ Zip gZq-Q) Telephone—Im-63K-3°23
OFFICE USE ONLY
PERMITNO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $