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 $