HomeMy WebLinkAboutF2018-0089 - Permit ApplicationFlo i$ -meq
Please print 3 copies
Associated Building Permit
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
F7777F>_C, Fire Sprinkler [ Fire Alarm
1. Project Address (Not mailing address)
Tenant Name
2. Description of Work
Extg Sq Ft F New/Added Sq Ft Total Sq Ft 77
New (` Add F.— Alter F_ Demo
Check Appropriate Box for Applicant/Notification
1pifnr�matm -_ -. _. __. _.. _. -. -
F7 Fire Misc
Floor Suite No
# Units
Use �—
Valuation $t 0V U
# Stories 12
4. Architect/Designer's Name Last V O ;First;r"IL n- Lic. No.l
Architect/Designer's Address I — ---
Architect/Designer's E-mail Address
52c
_j r(e_ liar poJl�Grja[t� COM
cityefT ✓(l� -.-__ State r�o Zip ! l Telephone 7G 1 316, Ofel ---
5. Engineer's Name Last First
Engineer's Address Engineer's E-mail Address
---. ----
City--
.____...—..—.--_..— State � ZiP �— Telephone
I-'6.Contractor'sName Last t�(J�l/O _ S�Ylhk�eKFirst� �GJ��7 f
Lic. No. ` L Class G
Contractor's Address Contractor's E-mail Address
__ f%��oYcove
City ��i;l State Zip "(�L �% -. Telephone
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
X)vol �, m
PERMIT NO. 1' M C
PLAN CHECK NO.
PLAN CHECK FEE $