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HomeMy WebLinkAboutF2017-0428 - Permit Applicationt*rint �otrri(� Worksheet for Fire Permit Application940v �ity of Newport Beach -Building Divisiop Please print 3 copies L V V ,z Associated Building Permit# F Fire Sprinkler r—, Fire Ala r� (', FireMisc s� 1. Project Address (Not mailing address) Floor Suite No 201 Jamboree Road UptownNewport #Units 229 Tenant Name 2. Description of Work 5000 Birch, Suite 600 Use Residential a artment buildin with 2 levels e s above ground esds l �iNaFfi _ fu S�2P� Zip 92660 Telephone949-487-6262 Fx-4. Arch itectlDesigner's Name Last Chahbazlan Valuation $ 725,700 Extg Sq Ft—_ New/Added Sq Ft 46,788.,. Total Sq Ft .46,788 Architect/Designer's E-mail Address `'`� # Stories i7 I fx— New I— Add r Alter F_ Demo Check Appropriate Box for Applicant/Notification rx3. Owner's Name Last The Picerne Group Fust Owner's Address Owner's E-mail Address 5000 Birch, Suite 600 City Newport Beach State CA Zip 92660 Telephone949-487-6262 Fx-4. Arch itectlDesigner's Name Last Chahbazlan First ram Lic. No. C19002 Architect/Designer's Address Architect/Designer's E-mail Address 19782 MacArthur Blvd, Suite 300', City Irvine State CA Zip 92612 Telephone 949-862-0270 (x, 5. Engineer's Name Las te- n �> Fir [�- AT Lic No.. M27247 Engineer's Address Engineer's E-mail Addre S bon 3 MacArthur Place City Santa Ana State CA Zip 92612 Telephone 949-862-0270 rx; 6. Contractor's Name Last Blunt First Don Lic No. 805026 Class C16 Contractor's Address Contractor's E-mail Address 1060 N Batavia St, Ste D DonBlunt@nvfire.com City Orange State CA Zip 92867 Telephone F14-639-3170 OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. L? 2P2—Z2 7 OCCUPANCY- GROUP PLAN CHECK FEE $