HomeMy WebLinkAboutF2020-0063 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
f2OU'DD03
i
i__I Fire Sprinkler VIFire Alarm
6
n Fire Misc
1. Project Address (Not mailing address) Floor Suite No
a i
wew fora Cen t pr.-- - - i . _Io
-- -
Tenant Name- # Units
PaL&f-
2. Description of Work
City ---
i
StateF Zip F Telephone
Use
File_ (�larrn S'1s�evn ��1�1i iiov� _ I_D_ ew devices _.__i
6
City I -_.-
$ S �_
Extg Sci Ft New/Added Sq Ft ,Total Scl Ft F-111Valuation
Last[_ lf-''IGI_P10bn First%0111_h Lic. No. ILlI�l1�1
New r Add F- Alter F— Demo
# Stories
Check Appropriate Boz for Applicant/Notification
3. Owner's Name
Last �— j First F
Owner's Address
Owner's E-mail Address
City ---
i
StateF Zip F Telephone
4. Architect/Designer's Name Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City I -_.-
I State r'. Zip r—j Telephone
f—;5.Engineer'sName
Last[_ lf-''IGI_P10bn First%0111_h Lic. No. ILlI�l1�1
Engineer's Address_
Engineer's E-mail Address
City L. State I--', Zip Telephone OI-0qs,'�G�
F-16. Contractor's Name Last vocyq ve 2 First A i�X Lic. No. FLI i�i L.�1lassF---
"'
Contractor's Address
Contractor's E-mail Address
w041Vez0 frl s9sfie60yv) _
city fiU S _-.
_._ StateGA Zip _ pi �-i U..b Telephone pGl - 1 E q 3'. 9 f ` 12 q
I
OFFICE USE ONLY
M J�l
✓ t i L`� PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUPIjU
PLAN CHECK FEE $
ve--ozo
05