HomeMy WebLinkAboutF2022-0528 - Permit ApplicationPlease print 3 copies
4ssociated Building permit #
Worksheet for Fire Permit Application
City of Newport 3aach - Euilding Division �_ .try„ - ()59:::1-
±.,Project Address (Not mailing address)
�3110 Newport Blvd.
Tarant Name Palmilla Restaurant
2, Description of Work
FreSxinkler (- Fire Alarm Fire Misc
(N) 4" undergound, 4" DCDA and riser in a tenant improvement srruaure
'� Sq Ft 4 362 _ New/Added Sq Ft �� Total 5q -=t [4 362
(-- New [ Add ix' [— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use Restaurant
Valuation $ 4,500
# Stories F
I
3.Owvner's Name Lase Newman
First [Grag
Owner's Address
Ow?aes E-mail Address
36 13Th Ct
Cit) Hermosa Beach State
CA lip 192,327
Telephone—
JF 4. Architect/Designer's Name Last Robinson Hill Architecture, Inc. First F_
Lic. No. ^I
i(t ArchitecUDesignees Address
iI
Arcaitact/Designers
E-mail Address
3195-B Airport Loop Dr.
;
Coy Costa Mesa State
III
CA Zip �92626
Telephone 714425 8888
5. Engineer's Name Last [Amaral Engineering Co First
Lic. No. i
¢ L=ngineer'sAadress
Erg :near'sE-m2dAddress
i 1211 N Tustin Ave
Cistateip/A
392807
Telephone 714-774-1763
�'.3. Contractor's Name Last Kim =irez Yung
Lic. No. 1049420 Class G16
Contractors Address L>c.�, ��
�/ � Ccn,ra_tor's E-mail Address
11450 Ruggiero Ave.
admin@caltechfire.com
City Sylmar State
CA _7.ip'91342
Telephone 310-345-4117
OFFICE USE ONLY
PERMIT NO. /C`% Z7— 625 Z� I
�� ZJrZ`7
l PE OF CONSTRUCTION
PLAN CHECK NO. /
OCCUPANCY- GROUP
i
PLAN CHECK FEE S