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HomeMy WebLinkAboutF2020-0513 - Permit ApplicationWorksheet for Fire Permit Application 94PIQWMI?1� Print Form �7,/ City of Newport Beach - Building Division Please print 3 copies vU � t/ sl 2q/ I � PA 61 � G V� W Or Associated Building Permit # r FireSprinkler F_ Fire Alarm r Fire Misc 1. Project Address (Not mailing address) Floor Suite No 3443 Pacific View Drive Corona del Mar 2 Tenant Name nits 2. Description of Work Use Middle School- Owner's E-mail Address Overhead Fire Sprinkler Piping System Daart's Point of connection 6" AFF — -- Extg Sq Ft New/Added Sq Ft Total Sq Ft 70,742.0 Valuation $ 317,000 - State Ca �- #Stories I2 FX_ New F_ Add r Alter F_ Demo Name Last Prendergast First Magdalena Lic. No. �— Check Appropriate Box for Applicant/Notification r 3. Owner's Name Last Cassady FirstChris Owner's Address Owner's E-mail Address 4100 Garner Rd. cc@daareeng.com City Riverside State Ca Zip 92501 Telephone909 888-8696 (— 4. Architect/Designer's Name Last Prendergast First Magdalena Lic. No. �— Architect/Designer's Address ArchitectlDesigner's E-mail Address LPA Architects - -- - - mprendergast@lpadesignstudios.com -- city State Ca Zip F— Telephone 949 769-6276 F_ 5. Engineer's Name Last Gano First Brian Lic No. C-16372946 Engineer's Address Engineer's E-mail Address 4100 Garner Rd. bg@daarteng.com City Riverside State Ca. Zip 92501 Telephone 909 888-8696 F_ 6. Contractor's Name Last First F Lic No. Class F_ Contractor's Address Contractor's E-mail Address - city State I— Zip F— Telephoned OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP PLAN CHECK FEE $