HomeMy WebLinkAboutF2018-0651 - Permit ApplicationFZ0-,b- ori
Print Form
Please print 3 copies
Associated Building Permit #
NO-21
for Fire Permit Application
City of Newport Beach - Building Division
Fire Sprinkler ❑ Fire Alarm ❑ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
o
_CARNA vl--AVL ._ Ca.-o(VA OE(. avA,1i ---
Tenant Name # Units
2. Description of Work
2a to cal o ,vim e. 7771 (31 ,oGvcrt+
r c�
Use
❑ 4. Architect/Designer's Name Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
I
Valuatio('� $I
Extg Sq Ft F__1New/Added Sq Ft �J Total Sq Ft i (ot
Last First F77777 Lic. No.
_3 _
# Stories
F77
r✓New ❑Add r] Alter ❑Demo
I
Check Appropriate Box for Applicant/Notification
❑ 3. Owner's Name
Last First Dnp
Owner's Address
Owner's E-mail Address
2a to cal o ,vim e. 7771 (31 ,oGvcrt+
city W
State Zip � Telephone- 'Z —�'71Z,
❑ 4. Architect/Designer's Name Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_7 Zip E771 Telephoned
❑ 5. Engineer's Name
Last First F77777 Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State Zip Telephoned
❑ 6. Contractor's Name
Last \ j ( � First / �C �r / Lic. No. Class C—(o
Contractor's Address
Contractor's E-mail Address
w e) C-7
r (--p &V
City
State Zip °CDlO.71 TelephoneJrt/
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION�/2
PLAN CHECK NO.
• 13
OCCUPANCY- GROUP,
1_ PLAN CHECK FEE $