HomeMy WebLinkAboutF2022-0452 - Permit ApplicationvvorKsneet Tor rire vermit Application a
Print Form City of Newport Beach - Building Division oa _ l>,S a p
Please print 3 copies - �< oa•'
Associated Building Permit # ❑ Fire Sprinkler ❑ Fire Alarm ❑ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
l >,�r✓ F QQI
Tenant Name c v� i,4 Cove j11C,,,/" , a ve #Units i
LLJJ
2. Description of Work
V —
Use
���
Valuation $
Extg Sq Ft I New/Added Sq Ft Total Sq Ft
�--�
#StoriesAlter
❑ New ❑Add ❑❑Demo
�
Check Appropriate Box for Applicant/Notification
❑ 3. Owner's Name Last First
Owner's Address Owner's E-mail Address
I
City State Zip Telephoned
❑ 4. Architect/Designer's Name Last F— First Lic. No. F
ArchitectlDesigner's Address Architect/Designer's E-mail Address
City _ State Zip � Telephoned
❑ 5. Engineer's Name Last First %ylera Lic. No.l
Engineer's Address �( Engineer's E-mail Address
Nker &r ;.cSys,C,sr -- — T
City '/A �k State i} Zip Q p r Telephone—
❑ 6. Contractor's Name Lastt �riK SAS First F_ Lic. No. �Z j Class FT
Contractor's Address Contractor's E-mail Address
z96r w0441 #/��' %�u.cG� r r .. C�
city q� ! . /�,State r , Zip 9 7b Telephone
OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO. lZ�
OCCUPANCY - GROUP �� j PLAN CHECK FEE $