HomeMy WebLinkAboutF2022-0592 - Permit ApplicationPlease print3 copies
Associated.Building Permit#
W Drksheet;for Fire Permit; Application
City of -Newport Beach - Building Division
❑ Fire Sprihider . [j Fire.Alarm
❑ Fire-Misc
t. Project Address • (Not mailing:address) Floor Suite No
Tenant Name - #Units
ot
2. DescriptionofWork
wv1� 24-0 CA' S Ye �{ �1KlflfS• I Vl
Extg Sq Ft [— New/Added Sq Ft-7 Total Sq Ft
j-I New (- Add � Alter jj. Demo
Check Appropriate Sox for Applicant/NoMcation,
Use L M�
Valuation $
U-._..,
# Stories F
❑ 4. Architect(Designees Name Last 1 m l Fiist ' r
-V Lic..No.
ArchitectOssigner's,A�ddreessss Architect[Designer's€-mad Address-,
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Zip ��7 iet hone
C - -- -- - -- ity State L _tv�
❑ 6. Engineer's Name Last. III First 'E -
Lic: Nol-
En meets Address Engineees-E-mail Address _
LCP IV
1
State F' 4ip TetephoneE ..
i-! 6. Contractor's Name Last
First Lic. No:
Contractor's Address Contractor's: E-mad Address
city - - State �— Telephone 1 i
— ---..
Zip
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OFFICE USE ONLY PERMIT. �Zest/L
TYPE OF CONSTRUCTION PLAN CHECKNO. 1 (Z-OGZ
OCCUPANCY - GROUP V J_ 6Z Z -v 1 �? r PLAN CHECK FEE $