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HomeMy WebLinkAboutF2019-0184 - Permit Applicationo7gG a©t9 ua%Nq,�iWorksheet for Fire Permit Application t�City of Newport Beach - Building Division 895 r✓OVBS4 Tease print 3 copies Associated Building Permit # 1. Project Address (Not mailing address) 95 Dove St. Tenant Name (Thomas Powell 2. Description of Work F- Fire Sprinkler r; Fire Alarm j - Fire Misc 2 fire sprinkler heads in office tenant improvement area Extg Sq Ft 500 New/Added Sq Ft 10 Total Sq Ft 500 F- New F-, Add r Alter F-', Demo Check Appropriate Box for Applicant/Notification ,Information 3. Owner's Name Last NEWPORT PLAZA OFFICE LLC First Floor Suite No # Units ,... Use Valuation $ 1,600.00 # Stories I Owner's Address Owner's E-mail Address 4000 W. Metropolitan Dr. Suite 190 City Orange State CA Zip 92868 TelephoneW Fi 4. Architect/Designer's Name Last First I Lic. No. ) Architect/Designees Address Architect/Designer's E-mail Address City State F - Zip I Telephone F 5. Engineer's Name Last First, Lic No. Engineer's Address Engineer's E-mail Address City State �� Zip Telephoned r 6. Contractor's Name Last ctive Fire Protection First F Lic No. 807593 Class C16 Contractor's Address Contractor's E-mail Address 1049 Segovia Cr. gdinovo@activefireprotection.com City Placentia �� State CA Zip 92870 Telephone 714-630-1288 OFFICE USE ONLY C�Zu� PERMIT NO. Zm 1 �� TYPE OF CONSTRUCTION Xu1 PLAN CHECK NO. OCCUPANCY- GROUP OS3� PLAN CHECK FEE $