HomeMy WebLinkAboutF2018-0130 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Fire Sprinkler [ Fire Alarm ire Misc
1. Project Address (Not mailing address) Floor Suite No
Owner's Address
Tenant Name -. ��� ��� � - 777 'i #Units rig 2
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2. Description of Work
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# Stories LLL
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Check Appropriate Box for Applicant/Notification
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Owner's Name Last�I cetwe 411�V i First
Owner's Address
Owner's E-mail Address
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Fl -/4. Architect/Designer's Name Last First - /1�. Lic. l^ f Q L
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Arch itect/Designers Address
Architect/Designers E-mail Address
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_ First _ �� tl ill'- t Lic. No. 1,
Engineer's Address _ _
Engineer's E-mailAddress
City .— State Zip
Telephone
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6. Contractor's Name Last L/N r
First171:?d�` Lic. No.�d" class
Contractor's Address
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Contractor's E-mail Address
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OFFICE USE ONLY /�� p
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PERMIT NO.
TYPE CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
�� PLAN CHECK FEE $