HomeMy WebLinkAboutF2020-0010 - Permit Applicationftorreei Tor Fire Permit Application
Please print 3 copies City of Newport Beach/ - Building Division
Associated Building Permit # 1 �/ 7A+ 7 \ v j (
R -fire Sprinkler [j Fire Alarm
1. Project Address (Not mailing address)
.�
Tenant Name
Z Description of Work
EMg Sq Ft e----- New/Added Sq Ft
- _ - _- - ---I Total Sq Ft
-------------- ill � � �
[] New r Add C Alter
j-' Demo
Check Appropriate Box for Applicant/Notification
ton
Wazat
3. Owner's Name
Last �—
owner's Address -'--
City
State
4. Arch itect/Designer's Name
First
Use _I
F-11
-
Valuation $
# Stories _
Owner's E-mail Address
Zip.__-------._
Telephone
__ ..
Last
Architect/Designer's Address -- First Lic, No.
Architect/Designer's E-mail Address -
City
State -----__-
Zip — - —
Telephone
C 5. Engineer's Name Last
..__ .—------- ��—,-y---��
Engineer's Address First Lic. No.
Engineer's E-mail Address
City -
State
Zip
E]6. Contractor's Name Last--
- First r
Contractor's Address - - - -_ Lic. No.
/-6.
/17
City - — - ----'
- StateYf
G
OFF/CE USE ONLY .
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
ontractors E-mail Address
i
Zip 9?O/ hone
� Telephoner----
PERMIT NO.
PLAN CHECK NO,
PLAN CHECK FEE $
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o�
tlC�4�'asd�i
L— i
Fire Misc
F�loor�
47
�Suite
--Noo
# Units
I
Use _I
F-11
-
Valuation $
# Stories _
Owner's E-mail Address
Zip.__-------._
Telephone
__ ..
Last
Architect/Designer's Address -- First Lic, No.
Architect/Designer's E-mail Address -
City
State -----__-
Zip — - —
Telephone
C 5. Engineer's Name Last
..__ .—------- ��—,-y---��
Engineer's Address First Lic. No.
Engineer's E-mail Address
City -
State
Zip
E]6. Contractor's Name Last--
- First r
Contractor's Address - - - -_ Lic. No.
/-6.
/17
City - — - ----'
- StateYf
G
OFF/CE USE ONLY .
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
ontractors E-mail Address
i
Zip 9?O/ hone
� Telephoner----
PERMIT NO.
PLAN CHECK NO,
PLAN CHECK FEE $
iw "Ir.
Z4 Z O