HomeMy WebLinkAboutF2019-0159 - Permit Application0687-�,Olct
Worksheet for Fire Permit Application XROIa-0159 z �VEN4
City of Newport Beach - Building Division z
Please print 3 copies
Associated Building Permit # (', Fire Sprinkler [RI Fire Alarm r, Fire Misc
Address (Not
DOVE
Tenant Name THOMAS POWELL
2. Description of Work
Alarm T/left New Devices.
Extg Sq Ft F New/Added Sq Ft _ Total Sq Ft
r— New (X`I Add A—. Alter (- Demo
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last i First
Floor Suite No
111.__
# Units (_.®.............
Use
Valuation $ 4134
Owner's Address Owner's E-mail Address
City State Zip-- Telephoned_
4. Architect/Designer's Name Last Vincent FirstLuu Lic. No.
Architect/Designer's Address ArchitectlDesigner's E-mail Address
1640 N. Batavia St. vincent.luu@redhawkus.com
City Orange State CA Zip 92867 Telephone 714 685-8100
City Orange State CA Zip 92768 Telephone 714-685 8100
OFFICE USE ONLY PERMIT NO. r
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY - GROUP `(J` >�� PLAN CHECK FEE $
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