HomeMy WebLinkAboutF2020-0236 - Permit ApplicationPlease print 3 copies
Associated Building Permit#
City of Newport Beach - Building Division
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Fire Sprinkler [] Fire Alarm
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1. Project Address (Not mailing address) Floor Suite No
Tenant Name # Units
2. Description Of Work
Owners E-mail Address
Use
Zip _7 Telephone F
F_,4.Architect/Designer's Name Last
EXtg Sq Ft New/Added Sq Ft Total Sq Ft
j F
Valuation $
JP New F7 Add 7 Alter Demo
4 Stories
Check Appropriate Box for Applicant/Notification
j 3. Owner's Name Last
First
Owners Address
Owners E-mail Address
City StateF
Zip _7 Telephone F
F_,4.Architect/Designer's Name Last
! First F_ Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
City F_ State
Zip I F_ TelephoneF
F -J'S. Engineer's Name Last F&2/2 _k_
FirstF-;- Lic. No.
Engineer's Address
Engineers E-mail Address
Ak
CGyS State
Zip Telephone l,•:7 /Y 73 3 60
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F16. Contractor's Name Last
First Lic. No. Classl
Contractors Address
Contractor's E-mail Address
L01
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15 VA.N 14er"_ rCj 1,e. 12 j"4e l 6,.,,
City A__-__..._. State
zipI Telephone
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-175"�e-
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
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