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HomeMy WebLinkAboutF2019-0341 - Permit ApplicationWorksheet for Fire Permit Application F W06R- 03c19Saws-,Print Form City of Newport Beach - Building Division Please print 3 copies Fire Sprinkler FR Fire Alarm n Fire Misc Associated Building Permit # i �' P 1. Project Address (Not mailing address) Last Floor Suite No _ 202 2001 Westcliff Drive Owner's Address I — Tenant Name Dr. Watson &Niven Dental Office TI #Units -- 2. Description of Work Zip F_—j Telephone—', Use Dental Office F- 4. ArchitectlDesigner's Name Last I First �— Lic. No. — Architect/Designer's Address dd notification to new suite Architect/Designer's E-mail Address Valuation $ -State F—', Extg Sq FtF7777 New/Added Sq Ft Total Sq Ft 2,207 i 1 -- Last Magazzu First Daniel Lic. No. 1030851 # Stories r-1New[ Add r Alter ri, Demo Engineer's E-mail Address Check Appropriate Box for Applicant/Notification IF 3. Owner's Name Last First F_! Owner's Address Owner's E-mail Address City State F—. Zip F_—j Telephone—', F- 4. ArchitectlDesigner's Name Last I First �— Lic. No. — Architect/Designer's Address Architect/Designer's E-mail Address City F— -State F—', Zip F_ Telephone FX_ 5. Engineer's Name Last Magazzu First Daniel Lic. No. 1030851 Engineer's Address Engineer's E-mail Address 3 Mauchly #100 dmagazzu@samlp.com Ciry Irvine.- State CA.. Zip 92618 '.. Telephone949-297-4364.. _ -. r! 6. Contractor's Name Last Magazzu First Daniel ',I Lic. No. 1030851 ',, Class C7/C10 Contractor's Address Contractor's E-mail Address 23 Mauchly #100 dmagazzu@samlp.com city Irvine State CA Zip 9,2,618 Telephone 949-768-1414 OFF/CE USE ONLY c PERMIT NO. G NO. 109 Nrl TYPE OF CONSTRUCTION — PLAN CHECK OCCUPANCY - GROUP PLAN CHECK FEE $