HomeMy WebLinkAboutX2021-3360 - Permit Application (3)f
City of Newport Beach - Building Division s
Associated Building Pormit 4 � � [-f Fire Sprinkler J€ I Fire Alarm n Fire Misc
9. Proj. r;i Addr€�ss (Not m aliing address)
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Tenant Name I
2. Description of Work
Extg Sq Ft f New/Added Se F t Total Sq, Ft
F1 New y Add Alter (� Demo
� vah�'Facrzr� �{rnr�. o-a
Floor i Suite No
/k Units
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Valuation $ ' 1(, -
# Stories
[-1 3. owmes Namo Last `w- Q r First
Owner's Address _ Owner's E-mail Address
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City I Al Slate Zip Y� b
Telephone
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4. ArchitecWesignov o WAR11e Last First
i Lic No
Arch itect/Designees Address Architect/Designer's E-mail Address
City 1 State F zip 1
Telephone f
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�� First % Lie:. No.FP
(4? G. ;rye irteer's Name Last _ _ °� G
Ti"�C;
tarigineor's Address _ Engineer's E-mail Address
cityJ p „ State ' Zip i
� ���� e'`.A ���1� �@ �i/.ter p .� �._ �D
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Telephoner
(. C®retractor°s Name Last ^ �% �t��� n rst
F _... .......__ "a �d`( _ 77
'; Lie. No. glass
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Contractor's Address Contractor's E-mail Address
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City State Zip
Telephone[[
OFFIrm, usrony
PERMIT NO.
TYPE' 01- CO )TI UCTION
PLAN CHECK NO. -
OCCUPANCY .- GROUP
PLAN CHECK FEE $ -