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HomeMy WebLinkAboutF2018-0238 - Permit ApplicationWorksheet for Fire Permit Application City of Newport Beach - Building Division o Please print 3 copies Associated Building Permit # Fire Sprinkler F7 Fire Alarm [7 Fire Misc 1. Project Address (Not mailing address) LastI Floor Suite No Tenant Name ©��Orr! S -- S I p,��, - # Units 2. Description of Work - _! State F—: Zip F___ Telephoned—' Flee �32/� /� C�� �C9C7 Use /^ Extg Sq Ft FV�' New/Added Sq Ft 3 ( v __7Total Sq Ft 6 (4 1. Valuation $ -,5 c) C/ "- City State 7— Zip # Stories II J�- New r, Add F_Alter F_ Demo Last First Lic No. Check Appropriate Box for Applicant/Notification 3. Owner's Name LastI First Owner's Address Owner's E-mail Address City � - - _! State F—: Zip F___ Telephoned—' (- 4. Architect/Designer's Name Last Fi stF Lic. No. Architect/Designers iAddress Architect/Designers E-mail Address City State 7— Zip F ' Telephoner- -' 5. Engineer's Name Last First Lic No. Engineer's Address Engineer's E-mail Address City ,. _ - State � Zip F Telephone_— Contractor's Name Last S First Lic. No *7263] Class' , _- �& Contractors Address Contractor's E-mail Address 9 7 - err � ��e 2o.a � . City State I V Zip Telephone vl-- 41Z- / 8 �--zo OFFICE USE ONLY PERMIT NO. C>gvZ -Zob TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE $ ')15)G Clb q9 -7 6 ( � 1,�,� I Iq