HomeMy WebLinkAboutF2024-0070 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # j tTj Fire Sprinkler Fire Alarm ❑ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
l06 Baytiew Grc\e, � r� �ea0
------- — --
TenantName f;rs1 Uwsh'In 1DY1 Rt4\ #Units
---- -._-..—�__ t----- - ---=
2. Description of Work
I1 X scope ow WO'M inctudcs }hc rttocaho" and odditioh OT no), fim $(mlll r
heads dvc {o new two l and ItIM Iccntions.
Valuation $ 'j 200 .60 j
—
Extg Sq Ft New/Added Sq Ft Total Sq Ft -1, 42S
# Stories 5 711
Fj New Add Alter Demo
Check Appropriate Box for Applicant/Notification
[ 3. Owners Name Last Edwards First Jcannte
Owner's Address
Owner's E-mail Address
100 Bagview Grele , such ll0
City LwtWpofi geoch -__J
—
State Zip �Zfo/o- _- Telephone (810) 2GS_'ISIII CA
❑ 4. Architect/Designer's Name Last
First Lic. No. �—
Architect/Designers Address
Architect/Designees E-mail Address
City
State — Zip F77 TelephoneF--
ci 5. Engineer's Name Last
First Lic. No.
LLL
Engineer's Address
-
Engineer's E-mail Address
City
State F Zip F, Telephone
X6. Contractor's Name Last First john Lic. No. (o -cvq Class
Contractors Address
Contractor's E-mail Address
ll`I Robmar 'Road, 5nk H
— - — . _—
Joht,@a11o#irt inc.carn
City Oceam%de,
State �— Zip cj�SH Telephone (qSl� Lo4-3g12
OFFICE USE ONLY
PERMITNO. FU0Zy'OO?0
TYPE OF CONSTRUCTION
PLAN CHECK NO. PCZin.q�QZAy
OCCUPANCY - GROUP
PLAN CHECK FEE $