HomeMy WebLinkAboutF2023-0199 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address
I00 WtJdV)tW Ctrclf.
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
ling address)
Tenant Name I Spec lsu{p- ZColb
2. Description of Work
17 Fire Sprinkler r Fire Alarm r Fire Misc
-rnc 1ciocanon gnCl aagt non 01. -7 f-irc SprinKlers
Cju io new_WQII and. l[yht )aLyljts..-
Extg Sq Ft �— New/Added Sq Ft �— Total Sq Ft F2, (n 33
r New r Add F Alter r Demo
Check Appropriate Box for Applicant/Notification
r- 3. Owner's Name Last (xiWaos
First 5QQYlli16
Owner's Address -
160lJ/ViQ W Owner's E-mail Address
CitUe, 8ui\e, 230
city Newport Beackn
f- 4. Architect/Designer's Name Last
Architect/Designer's Address
State I M — Zip cizuoto Telephoner
Floor Suite No
2"`t 2ca to
# Units I
Use I b-o Fl-1(R_
Valuation $ 1 8_ 00 000
# Stories I (;o
First— Lic. No. F�
Architect/Designer's E-mail Address
-- I
� —
city State r— _ -
ZiPrTelephone—
- -
r 5. Engineer's Name Last First �—
Lic No. F
Engineer's Address - - _ -
Engineer's E-mail Address
City
�/ _ State F_ Zip �— Telephone�—
6.Contractor's Name Last j6hnS}DY1 First r________-
Johr� Lic No. r Class C-(�
ContContractor's Address J�
Contractor's E-mail Address
�02mar 120ad,
�ohn�allpro�iteinc.com
city State -
CIA ZiP C(r Telephone (qS(, 2ra4- 3Q12
OFFICE USE ONLY G7 Z f&-7 - - 3� 3
TYPE OF CONSTRUCTION "�^7 n�Z
OCCUPANCY - GROUP (ICJ
PERMIT NO. E-64,f(i 4
Z PLAN CHECK NO. PC/3 =t t
PLAN CHECK FEE $