HomeMy WebLinkAboutF2021-0469 - Permit Application (3)EPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address
--
CHIT LVAST HIGHWAY
Worksheet for Fire Permit Application W�q,
City of Newport Beach - Building Division
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Ix Fire Sprinkler r Fire Alarm j— Fire Misc
address)
Tenant Name MOTHERS MARKET & KITCHEN
2. Description of Work
DROPS FOR NEW WAL v ' "" 1V MAJU KELOCATION OF
UROOM CONFIGURATIONS.
Extg Sq Ft 769 New/Added Sq Ft F_� Total Sq Ft 769
F New r Add 19 Alter
(— Demo
Check Appropriate Box for Applicant/Notification
IX 3. Owner's Name Last MOSHAYEDI
Owner's Address First MARK
Owner's E-mail Address
f17475 GILLETTE
FOOf _
-
Suite No
B
#Units
1�
Use
Valuation $ 413
# Stories 11
City IRVINE
State CA Zip 2614
Telephone (949) 350-4019
9 4. Architect/Designer's Name Last FURRER
Architect/Designer's Address First AMEREN Lic. No, F61069002
Architect/Designer's E-mail Address
1601 W ORANGEWOOD AVE
FURRER@ADFI RES PRI N KLERS. COM
City PiiANGE State CA
Zip F2868 Telephone (714) 634-3923
5. Engineer's Name Last
Engineer's Address
First
Engineer's E-mail Address
Lic. No. F�
City I —
State �— ZIP �— Telephone�—
rX 6. Contractor's Name Last &D FIRE
First �— Lic. No. j11006'9900022--
Contractor's Address I Class 16
Contractor's E-mail Address
1601 W ORANGEWOOD AVE
City RANGE
FURRER@AD FIRESPRINKLE RS. COM
State FA — Zip 2868
Telephone (714) 634-3923
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $