HomeMy WebLinkAboutF2019-0438 - Permit ApplicationVVorKsheet tor Hre Permit Application gulg
f ritlipTr�i .! r �� �y of Newport Beach - Building Division Please print 3 copies0B �
Associated Building Permit # I A a'Q 1 - �� K�j FX_ '... Fire Sprinkler j` Fire Alarm I" Fire Misc
1. Project Address (Not mailing address)
F2135 Westcliff Dr (Building 3) Newport Beach, Ca.92660 _..
Floor
_.' 1
Suite No
102.
Tenant Name Skin Spirit Care
# Units
(_--',
2. Description of Work
Use Med Spa
aFfrossard@skinspirit.com
17 semi recess sprinkler heads in t -bar area, add 15concealer sprinkler heads in drywall
rdd
Zip Telephone206-618-0591
F_ 4. Architect/Designer's
areas, move 14 existing upright sprinklers, add 4 new upright sprinklers. total of 50 heads.
--
Architect/Designer's Address
Extg Sq Ft 2,845 New/Added Sq Ft F Total Sq Ft J2,845�
Valuation $
8,300
State
#Stories
F2_,,
j`- New j-', Add (K; Alter F Demo
First Lic No. F_
Engineer's Address
Check Appropriate Box for Applicant/Notification
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[-', 3. Owner's Name
Last Frossard
First nn,
Owner's Address
Owner's E-mail Address
aFfrossard@skinspirit.com
City
State
Zip Telephone206-618-0591
F_ 4. Architect/Designer's
Name Last
First F_ Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City_._.
State
Zip r Telephone
I-••'•••. 5. Engineer's Name
Last
First Lic No. F_
Engineer's Address
Engineer's E-mail Address
City
State — — —'
Zip F_ TelephoneF__
(-X', 6. Contractor's Name
Last Holland _-
First Jim _, Lic. No. 1013877 Class C76
Contractor's Address
Contractor's E-mail Address
18712 Dallas Ave.
mrholland@hotmail.com
City Riverside,
State Ca
Zip 92508�� Telephone951-789-9360
OFFICE USE ONLY
PERMIT NO. �6 ✓O
TYPE OF CONSTRUCTION
�I
PLAN CHECK NO. � 2 01 -1-01`7
OCCUPANCY - GROUP
PLAN CHECK FEE $
9 J-4 J�
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