HomeMy WebLinkAboutXC2023-0207 - Permit ApplicationWorksheet for Fire Permit Application 940,.,
Print Form City of Newport Beach - Building Division Please print 3 copies
Associated Building Permit# yC, eJ 3_ �7 Ix Fire Sprinkler r Fire Alarm )—FireMisc
1. Project Address (Not mailing address)
2600 E. Coast Highway Corona Del Mar CA, 92625
Tenant Name Akins Parker
2. Description of Work
Ice tenant improvement for existing warm shell (10 heads).
Extg Sq Ft 1155 _. _... New/Added Sq Ft �— Total Sq Ft 1155
r New r Add Ix Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
F 210
# Units F
Use Commercial
Valuation $ 1746.00
`J
# Stories
Ix 3.Owner's Name
Last Parker First Akins
Owner's Address
Owner's E-mail Address
225 N. Broadway Suite 200
jell@akinsparker.com
City Santa Ana
State CA Zip 92701 Telephone 949-724-8000
IX 4. Architect/Designer's Name Last Leeman _ _. _.. First Brad _ _.. Lic. No. F107153
Architect/Designer's Address
Architect/Designer's E-mail Address
205 Lewis Court
Construction@cjsuppression.com
City Corona
State CA Zip 92882 Telephone 951-735 5560
r 5. Engineer's Name
Last First F Lic. No. F_—
Engineer's Address
Engineer's E-mail Address
City
State F___ Zip Telephone
6. Contractor's Name
Last (ATTN: Stacey Rosales) First FCJ Suppression Lic. No. Y`"" "' Class C16
Contractor's Address
�� 5 Contractor's E-mail Address 10
205 Lewis Court
Construction@cjsuppression.com
City Corona
State CA Zip 92882 Telephone 951-735 5560
OFFICE USE ONLY
D ��3 _ �6 C) PERMIT NO. 03 % g
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TYPE OF CONSTRUCTION PLAN CHECK NO. �GZcSZ3 (7 S
OCCUPANCY - GROUP
PLAN CHECK FEE $