HomeMy WebLinkAboutF2022-0478 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division -a
Please print 3 copies r -,,D - C� 7� `qoar
Associated Building Permit# Fire Sprinkler F., Fire Alarm f7 Fire Misc
1. Project Address (Not mailing address) Floor Suite No
F-100 ga�view-------------
Tenant Name S 6we_ �qwo Units
2. Description of Work
use
6-
nt vetocoLhax) orr (r.) qytishncj "m V)cadi dLffl_ Vo--new wall
- ---- -----
Valuation $ 2,000. Go
Extg Scl Ft New/Added Scl Ft Total Scl Ft 2, l54
# Stories
New F_. Add Alter Demo
Check Appropriate Box for Applicant/Notification
3. Owner's Name Last I E4LW05 FirstF ROLV)YjIp_
Owner's Address
Owner's E-mail Address
1_ 160 BaMvie-w C40t 230
City NtVJVG0 beacin State
F cA
Zip Telephone
F7 4. Architect/Designer's Name Last First Lic. No.
Architect/Designer's Address
F
Architect/Designer's E-mail Address
City State
Zip Telephone[-,
5. Engineer's Name Last Y
First F Lic. No,
Engineer's Address
Engineer's E-mail Address
City State
ZipF_7_ Telephone
%6. Contractor's Name Last
First Sohn Lic, No.
F
Class
Contractor's Address
Contractor's E-mail Address
Fc t 1 o c i 1) - c. cayN, -
City F oczamdt State F CA
Zip Fcu58 Telephonel
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $