HomeMy WebLinkAboutF2022-0109 - Permit Application (2)3 copies
uildinr, Permit #
Address (Not
Worksheet for f=ire r^errrtit Applicatio ZriZ2-0
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City of Newport Beach - Building Division = _
Fire : nr;nnle u Fire Alarm
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JAIVIBOHEE ROAD -..._._._._.._._._.._.__.___._..__._...,.—.......__.
ant Name �HGAG JAMBOREE BLDG A
Z. Description of Work --
Floor
Suite No
11ST
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# Units
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;Fire Alarrn T/I 55 New Devices. Use I V -,f3 -SP(2_
Extg Sq Fi. I�'•`�""'""_"` -. T !_.._.,._,,._..._..„-„__,�„ Valuation $ ,477.00 _
New/.ydded Sq Ft Iiota] Sq Ft i 41
New IX Add i`j Alter -'
.. +_.I Demo #Stories 1
CheckAppropriate BOX for Applicant/Notification
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F_ i. Owner's Name Last
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_.... First
Owne!'s Address - - -
Owner's E-mail Address
City 2
Slats !r ....___.._._
7
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Zip �_ Telephones
I , e6. Architect/Designer's Name: Last
lPutrn;an
First IMalisa
Lic. No.
ArcrutecbDesiyner's Address
r___- •_ __._._._._..___-----
1210 VU Baywood Ave.
---_.....__.._....___..__..__.....____-...
Arcnitect/Designer's E --mail Address
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City h'ange
- Stag CA
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Zip9?865 Telephone 4-685-8100
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5 Engineer's Name
Last-
�
Firth � ;
- Lic. No. F—._..—
Engineer's Address
Enpheer. E:mailA.dress
-
City
.._.._. _
.._ __.
....._ State I _
Lip (_-... Telephone!
G. Contractor's Name
I ust fZDWF Commercial
Lic. No. 106504
Class C10 - C16
Contractor's Address
"`---------------•_.--•---_-_._.._.__._._____..._.___._—.,
210 W Bay wood Ave.
Contractor's L --mail Address
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-
Cit Y Oran• a
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iSaroush ahrar@redhawkus.com
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State !CA
Zip 192865 telephone
714-685-8133
OFFICE USE ONLY
PERMIT NO. -
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY -GROUP -��-- 7 �n�J l _O 1 -7 I PIAN CHECK FEE $