HomeMy WebLinkAboutX2019-0115 - Permit Application (2)Print Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division o
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r. Fire Sprinkler rFire Alarm rFire Misc
1. Project Address (Not mailing address) Floor Suite No
r— 133
',4 I ewport Center Drive
133 # Units
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Tenant Name BaCio di Latte
2. Description of Work
Use Ice Cream Shop
City Los Angeles State CA
_ _ -.9 - - _._s
Tenant Improvement to an existing retail space
4. Architect/Desi ner's Name Last Valerio
First Niccolo
._ Lic. No. C24228
Valuation $ 50,000 11
Exlg Sq Ft 988 New/Added Sq Ft FO Total Sq Ft 988
11
entitlements@valedoinc.com
# Stories h
r' New ri Add � Alter r Demo
r! S. Engineer's Name Last Heath 1. First FStephen Lic. No.M14269
Check Appropriate Box for Applicant/Notification
_10:01=19001111
V 3. Owner's Name Last Opler
—1
;First Massimo
Owner's Address
Owner's E-mail Address
10250 Santa Monica Blvd., Suite 1790
massimo@baciodilatte.00m
City Los Angeles State CA
_ _ -.9 - - _._s
Zip 90067 Telephone 921-278-5808
4. Architect/Desi ner's Name Last Valerio
First Niccolo
._ Lic. No. C24228
Architect/Designers Address
Architect/Designer's E-mail Address
5858 Wilshire Blvd., Suite 200
entitlements@valedoinc.com
City Los Angeles State CA
Zip 90036 Telephone 323-954-8996
r! S. Engineer's Name Last Heath 1. First FStephen Lic. No.M14269
Engineers Address
Engineers E-mail Address
2 Venture, Suite 200
mguerrero@wrighte.com
City Irvine State CA
Zip 92618 Telephone 949-477-4001
1 6. Contractor's Name Last TBD /Nv
Lic. No. Class
First -1 17797 I ' . _......;
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Contractors Address
Contractors E-mail Address
rS43 i @MML AVE, F.
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City rVCrrs3 _.. ... ...__ +' State ICA
Zip Si .' Telephone.Zjy„grjyQ!II
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
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