HomeMy WebLinkAboutF2022-0466 - Permit ApplicationvvorKsneet Tor rire vermlt Application 1*6
Print Form - -l7
City of Newport Beach -Building Division
Please print 3 copies
Associated Building Permit # r 71 ❑ Fire Sprinkler V Fire Alarm ❑ Fire Misc
1. Project Address (Not mailing address)
Tenant Name Oki C,
2. Description of Work
_..N� d"1 i m d Val F. C `. add wf. Z yWitV g s r 0 ,/o.`a '
Extg Sq Ft u New/Added Sq Ft I J Total Sq Ft
❑ New ❑ Add 7DAIter ❑ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
VZ O—�
# Units EE
Use
Valuation $
# Stories FQTT
❑ 3.Owner's Name Last
��+ 4 First
Owner's Address
wner's E-mail Address
City I )
State F Zip � Telephoned
❑ 4. Architect/Designer's Name Last First Lic. No.
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
cityState
� 1 Zip Telephoned
❑ 5. Engineer's Name Last �— First � Lic. No.
��II
Engineer's Address
Engineer's E-mail Address
City
State LI Zip TelephoneE7
❑6. Contractor's Name Last
( First Lic. No. e t "Class CCU
Contractor's Address
Contractor's E-mail Address
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P C Y C, .V
V �1' r Ei
City ' a
State Zip I V Telephone l
OFFICE USE ONLY
PERMIT NO. O
TYPE OF CONSTRUCTION
PLAN CHECK NO. Zd?2'`2&q
OCCUPANCY -GROUP
PLAN CHECK FEE $