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HomeMy WebLinkAboutF2022-0461 - Permit ApplicationPrint Form worl(sneet Tor rire vermit Application City of Newport Beach - Building Division Please print 3 copies /7 g 6 Q — 2�� Associated Building Permit # Xq02I .:33 Q q I P-r_i"re Sprinkler ❑ Fire Alarm ❑ Fire Misc I. Project Address (Not mailing address) Floor ; ZO 3,5 © �7 i 2c K 5 iE E J- Tenant Name �,�lyorrJ� g L v 2. Description of Work Extg Sq Ft New/Added Sq Ft ❑ New ❑ Add Alter ❑ Check Appropriate Box for Applican Notification Y ial Sq Ft >`1 i pvo,5 # Units Use Valuation $ Sp0 ap 6# Stories Fff mbz ❑ 3.Owner's Name Last F-�'PnaT 14y MeA t� Owner's Address Owner's E-mail Address City State Zip F7777 Telephoned [14. Architec `signer's Name Last s : wt a rq I First Srr Lic. No. b 77�Z 1 Architec er's —Ad Architect/Designees E-mail Address City State Zip z Z / Telephone 7 / y / P 4 % ❑ 5. Engineer's Name Last First Lic.No.� ��JJ Engineer's Address Engineer's E-mail Address City State Zip E--7.1 Telephoned ❑6.Contractor's Name Last Cosed r,te-�{Z.�KcTie First— Lic. No. 776 j Class Contractor's Address Contractor's E-mail Address Ia-TS Z4RT-9D KIg�•G 0 Nil, city P � State FEKI Zip Telephone Q17 OFFICE USE ONLY ��j� -t,/ - W� �J PERMIT NO. t�L1t2 TYPE OF CONSTRUCTION OCCUPANCY - GROUP PLAN CHECK NO.ZF� - Z( 7 S\3WZZ-7 7.3 PLAN CHECK FEE $ 7 1 -6 L t '4-3v--