HomeMy WebLinkAboutF2021-0193 - Permit Application../M"p;r��RP QF�V H6
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City of Newport Beach - Building Division u
Please print 3 copies Moar.
Associated Building Permit # Fire Sprinkler ❑ Fire Alarm F- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1-70 1 _Torte AAgwF 'F4-- --- - - - - - - - 1 �-1 F
Tenant Name # Units
2. Description of Work
�IaSTAt.C- tJEl.a �S�TLRI, v�(ZINk(.tYc-_���t;'M_(�JiO NEADS�
Use
Extg Sq Ft F 777 New/Added Sq Ft Fi Total Sq Ft 3/-75d
Valuation $`) cjD
- -
New Add �' Alter r Demo
# Stories -
--
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last i First
Owner's Address Owner's E-mail Address
City State �— Zip F_ Telephoned
F_ 4. Archit Designer's Name Last I k Firs Lic. No.
ArchitecU esigner's Address Architect/Designees E-mail Address
City State Zip F— Telephoned
F 5. Engineer's Name Last First - Lic. No.
Engineer's Address Engineer's E-mail Address
City State Zip � Telephoned
F 6. Contractor's Name Last T16U� First AC; Lic. No. is 36% Class (-i
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Contractor's Address Contractor's E-mail Address
City I LAyce- lam- J State Zip � 3p Telephone :Vj_ W7 _ (,'(o I
OFFICE USE ONLY -WOW . ( PERMIT NO. r
TYPE OF CONSTRUCTION (f PLAN CHECK NO. v
PLAN CHECK FEE $
OCCUPANCY- GROUPZ11—